DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Frederick, Judy N	DOIID	593067	NAIC NPN	8177858

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	9/2/2004	3/1/2009
Inactive	Resident	Agent	Health	9/2/2004	3/1/2009
* 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	State Farm Life Insurance Company	301810	Agent - Life	9/2/2004	4/15/2009
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	9/2/2004	4/15/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wade Flowers Insurance Agency Inc	619615	Agent - Health	1/19/2007	3/1/2009
Inactive	Wade Flowers Insurance Agency Inc	619615	Agent - Life	1/19/2007	3/1/2009