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DEPARTMENT OF INSURANCE
Affiliations
Name
Clark, Fredda Lyn
DOIID
979173
NAIC NPN
16816324
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
9/29/2021
12/31/2022
Inactive
Non Resident
Agent
Life
12/13/2017
12/31/2020
* 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
Accendo Insurance Company
300312
Agent - Life
6/10/2020
12/31/2020
Inactive
Aetna Health Inc. (PA)
660717
Agent - Health
10/20/2021
12/31/2022
Inactive
Aetna Health and Life Insurance Company
300523
Agent - Health
2/23/2019
12/31/2020
Inactive
Aetna Health of Ohio Inc.
1065035
Agent - Health
10/20/2021
12/31/2022
Inactive
Aetna Life Insurance Company
301140
Agent - Health
10/20/2021
12/31/2022
Inactive
Aetna Life Insurance Company
301140
Agent - Life
5/20/2019
12/31/2020
Inactive
American Continental Insurance Company
643130
Agent - Life
2/23/2019
12/31/2020
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
9/11/2020
12/31/2020
Inactive
Anthem Life Insurance Company
301209
Agent - Health
9/11/2020
12/31/2020
Inactive
Anthem Life Insurance Company
301209
Agent - Life
9/11/2020
12/31/2020
Inactive
CMFG Life Insurance Company
300929
Agent - Health
12/30/2017
6/6/2019
Inactive
CMFG Life Insurance Company
300929
Agent - Life
12/30/2017
6/6/2019
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
2/23/2019
12/31/2020
Inactive
Lumico Life Insurance Company
300354
Agent - Life
2/10/2020
8/17/2020
Inactive
SilverScript Insurance Company
663526
Agent - Health
10/20/2021
12/31/2022
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
10/1/2021
6/1/2022
Inactive
UnitedHealthcare Insurance Company of the River Valley
1027817
Agent - Health
10/1/2021
6/1/2022
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
10/1/2021
12/23/2021
Inactive
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
10/1/2021
6/1/2022
Inactive
WellCare Health Insurance Company of Kentucky, Inc.
301478
Agent - Health
11/20/2020
12/31/2020
Inactive
WellCare Prescription Insurance Inc.
654329
Agent - Health
11/20/2020
12/31/2020
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
4/26/2019
12/31/2020
Inactive
Designated Agent Company Inc.
681257
Agent - Health
4/26/2019
12/31/2020
Inactive
Walmart Insurance Services LLC
1087685
Agent - Health
7/31/2020
9/29/2020
Inactive
eHealthInsurance Services Inc.
514105
Agent - Life
5/31/2019
4/30/2020
Inactive
eHealthInsurance Services Inc.
514105
Agent - Health
5/31/2019
4/30/2020
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