DEPARTMENT OF INSURANCE

Affiliations

Name	Freibert, Jason Robert	DOIID	679855	NAIC NPN	10734445

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	6/30/2008	5/1/2014
Inactive	Resident	Agent	Health	6/30/2008	5/1/2014
* 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	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	10/6/2011	12/6/2012
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/5/2008	7/1/2011
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/5/2008	7/1/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/5/2008	4/1/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/5/2008	4/1/2012
Inactive	Banner Life Insurance Company	301696	Agent - Life	7/2/2012	5/1/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/9/2011	7/10/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/9/2011	7/10/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/20/2012	5/1/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/20/2012	5/1/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/9/2011	7/10/2013
Inactive	Humana Insurance Company	301104	Agent - Health	8/8/2011	7/10/2013
Inactive	Humana Insurance Company	301104	Agent - Life	8/8/2011	7/10/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/9/2011	7/10/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/9/2011	7/10/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/13/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/13/2012	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/9/2011	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/9/2011	4/25/2013
Inactive	Time Insurance Company	300683	Agent - Health	9/1/2011	5/1/2014
Inactive	Time Insurance Company	300683	Agent - Life	9/1/2011	5/1/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/26/2011	3/15/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/26/2011	3/15/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013	5/1/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013	5/1/2014
Inactive	StoneBridge Insurance Services, Inc	398862	Agent - Life	2/27/2012	1/16/2014
Inactive	StoneBridge Insurance Services, Inc	398862	Agent - Health	2/27/2012	1/16/2014