DEPARTMENT OF INSURANCE

Affiliations

Name	Frederick, Lee W	DOIID	707761	NAIC NPN	8294952

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	12/28/2009	2/1/2025
Inactive	Resident	Agent	Life	12/3/2009	2/1/2025
* 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 National Insurance Company	301861	Agent - Life	11/16/2021	2/1/2025
Denied	Anthem Life Insurance Company	301209	Agent - Health
Denied	Anthem Life Insurance Company	301209	Agent - Life
Denied	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life
Inactive	Athene Annuity and Life Company	301893	Agent - Life	10/5/2010	2/1/2025
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/21/2022	2/28/2023
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	5/28/2013	12/7/2016
Inactive	Genworth Life Insurance Company	300623	Agent - Health	11/13/2010	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	12/3/2009	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	11/13/2010	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	12/3/2009	12/7/2012
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/10/2020	10/31/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	9/8/2020	2/28/2023
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/18/2017	10/22/2018
Inactive	National Western Life Insurance Company	301515	Agent - Health	5/12/2015	12/13/2018
Inactive	National Western Life Insurance Company	301515	Agent - Life	5/12/2015	12/10/2019
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	4/15/2021	12/12/2022
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	4/15/2021	12/12/2022
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	4/15/2021	12/18/2024
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	4/15/2021	12/18/2024
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	3/13/2019	2/1/2025
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	11/1/2010	2/1/2025
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/1/2010	2/1/2025
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	12/28/2009	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	12/28/2009	10/1/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/26/2021	2/22/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/26/2021	2/22/2022

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	12/28/2011	2/13/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/28/2011	2/13/2025
Inactive	United Financial Services Inc	400566	Agent - Life	1/13/2012	2/1/2025
Inactive	United Financial Services Inc	400566	Agent - Health	1/13/2012	2/1/2025