DEPARTMENT OF INSURANCE
Affiliations
NameFredriksen, Stephen RoyDOIID635829NAIC NPN2258622
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth7/13/20063/31/2012 
InactiveNon ResidentAgentVariable Life and Variable Annuities7/13/20063/31/2012 
InactiveNon ResidentAgentLife7/13/20063/31/2012 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health9/11/20063/31/2012
InactiveAllianz Life Insurance Company of North America301791Agent - Life9/11/20063/31/2012
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities9/11/20063/31/2012
InactiveAnthem Life Insurance Company301209Agent - Health8/21/20063/31/2012
InactiveAnthem Life Insurance Company301209Agent - Life8/21/20063/31/2012
InactiveFortitude Life Insurance & Annuity Company301503Agent - Health7/31/20063/31/2012
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life7/31/20063/31/2012
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities7/31/20063/31/2012
InactiveHumana Insurance Company301104Agent - Health1/28/20083/31/2012
InactiveHumana Insurance Company301104Agent - Life1/28/20083/31/2012
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/28/20083/31/2012
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/28/20083/31/2012
InactiveHumanaDental Insurance Company301457Agent - Health8/22/20062/22/2012
InactiveHumanaDental Insurance Company301457Agent - Life8/22/20062/22/2012
InactivePacific Life Insurance Company301848Agent - Life12/21/20063/31/2012
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities12/21/20063/31/2012
InactivePruco Life Insurance Company300954Agent - Health3/9/20103/31/2012
InactivePruco Life Insurance Company300954Agent - Life3/9/20103/31/2012
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities3/9/20103/31/2012
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life8/21/20066/23/2008
InactiveArison Insurance Services, Inc.401001Agent - Health8/21/20066/23/2008
InactiveDesignated Agent Company Inc.681257Agent - Life6/28/20083/31/2012
InactiveDesignated Agent Company Inc.681257Agent - Health6/28/20083/31/2012
InactiveMedlink Inc400721Agent - Life9/14/20063/31/2012
InactiveMedlink Inc400721Agent - Health9/14/20063/31/2012

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