DEPARTMENT OF INSURANCE

Affiliations

Name	Frederes, Jordan Mae	DOIID	1005646	NAIC NPN	18773659

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	8/17/2018	9/30/2025
Active	Non Resident	Agent	Health	8/17/2018	9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	3/29/2022	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	3/29/2022	5/2/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/5/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	5/23/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/5/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	1/5/2021
Inactive	American Republic Insurance Company	300861	Agent - Health	4/4/2022	3/15/2024
Inactive	American Republic Insurance Company	300861	Agent - Life	4/4/2022	3/15/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/17/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	2/11/2022
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/17/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/26/2020	2/11/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/26/2020	2/11/2022
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	7/31/2019	12/22/2020
Inactive	Capitol Life Insurance Company	301514	Agent - Health	8/1/2020	1/22/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/15/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	4/2/2020	12/9/2021
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/27/2020	1/18/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	12/17/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/23/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/29/2022	5/2/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	10/7/2024
Inactive	Humana Insurance Company	301104	Agent - Health	8/22/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Life	8/22/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/22/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/22/2018	12/10/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/8/2019	5/5/2022
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	11/5/2018
Inactive	Medico Insurance Company	301559	Agent - Health	12/28/2022	3/15/2024
Inactive	Medico Insurance Company	301559	Agent - Life	12/28/2022	3/15/2024
Active	SilverScript Insurance Company	663526	Agent - Health	1/5/2021
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	10/29/2018	5/8/2023
Active	Tier One Insurance Company	301056	Agent - Life	5/20/2024
Inactive	United World Life Insurance Company	300532	Agent - Health	10/17/2019	9/22/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/15/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	5/9/2022	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/2/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/15/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/24/2021	8/29/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Life	2/26/2021	1/21/2022
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Health	2/26/2021	1/21/2022
Denied	Spring Ins Solutions LLC	788951	Agent - Life
Active	Spring Ins Solutions LLC	788951	Agent - Health	11/20/2019