DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fredrich, Jay Allan	DOIID	985037	NAIC NPN	18215352

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/19/2018	2/28/2023
Inactive	Non Resident	Agent	Health	2/19/2018	2/28/2023
* 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	2/28/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	2/21/2018	2/28/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/8/2018	2/28/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020	2/28/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/21/2018	2/28/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Life	2/21/2018	2/28/2023
Inactive	American Continental Insurance Company	643130	Agent - Life	3/8/2018	8/11/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	12/4/2018	4/8/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/8/2018	2/28/2023
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	2/21/2018	2/28/2023
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/7/2019	4/8/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/5/2018	4/29/2019
Inactive	Pioneer American Insurance Company	301268	Agent - Life	4/14/2021	2/28/2023
Inactive	Reserve National Insurance Company	301073	Agent - Health	6/11/2018	8/13/2018
Inactive	Reserve National Insurance Company	301073	Agent - Life	6/11/2018	8/13/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	2/28/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/20/2019	4/8/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/20/2019	4/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	GoldenCare USA, LLC	398142	Agent - Life	10/30/2019	3/10/2021
Inactive	GoldenCare USA, LLC	398142	Agent - Health	10/30/2019	3/10/2021
Inactive	National Independent Brokers, LLC	502029	Agent - Life	10/30/2019	3/10/2021
Inactive	National Independent Brokers, LLC	502029	Agent - Health	10/30/2019	3/10/2021