DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Frederick, Jessica Dawn	DOIID	555213	NAIC NPN	3369525

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/23/2007	2/28/2010
Inactive	Non Resident	Agent	Life	3/23/2007	2/28/2010
Inactive	Non Resident	Agent	Casualty	3/23/2007	2/28/2010
Inactive	Non Resident	Agent	Property	3/23/2007	2/28/2010
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AAA Life Insurance Company	300287	Agent - Health	3/14/2003	6/26/2003
Inactive	AAA Life Insurance Company	300287	Agent - Life	3/14/2003	6/26/2003
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	5/15/2007	10/10/2008
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	5/15/2007	10/10/2008
Inactive	First Colony Life Insurance Company	301179	Agent - Health	1/16/2003	12/7/2005
Inactive	First Colony Life Insurance Company	301179	Agent - Life	1/16/2003	12/7/2005
Inactive	Genworth Life Insurance Company	300623	Agent - Health	10/15/2002	2/28/2006
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/15/2002	2/28/2006
Inactive	Jefferson National Life Insurance Company	300258	Agent - Life	3/5/2004	9/21/2005
Inactive	Liberty Life Insurance Company	301542	Agent - Health	2/23/2004	1/9/2006
Inactive	Liberty Life Insurance Company	301542	Agent - Life	2/23/2004	1/9/2006
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	1/23/2004	10/17/2005
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	1/23/2004	10/17/2005
Inactive	Wilton Reassurance Life Company of New York	300163	Agent - Life	3/5/2004	9/21/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Health	8/14/2003	7/25/2005
Inactive	Financial Insurance Services, Inc.	514710	Agent - Life	8/14/2003	7/25/2005