DEPARTMENT OF INSURANCE

Affiliations

Name	Frederick, Donna Jean	DOIID	1034385	NAIC NPN	15918761

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	3/28/2019	9/30/2026
Active	Non Resident	Agent	Health	3/28/2019	9/30/2026
* 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	07/15/2026	09/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	11/28/2025
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/21/2024	10/31/2025
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	5/17/2019	11/28/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/21/2024	10/31/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/21/2024	10/31/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/10/2019	4/29/2024
Inactive	American Continental Insurance Company	643130	Agent - Life	5/17/2019	8/11/2021
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	8/27/2020	3/13/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	4/11/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	4/11/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/5/2019	4/11/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/5/2019	4/11/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	5/10/2023	12/12/2024
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/2/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/26/2024	11/13/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	4/11/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/17/2019	11/28/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	12/8/2021	11/28/2025
Inactive	Healthspring Healthcare of Colorado, Inc.	1098153	Agent - Health	11/2/2022	1/21/2026
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/13/2020	12/13/2024
Inactive	Humana Insurance Company	301104	Agent - Health	3/3/2020	12/12/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/21/2024	10/31/2025
Inactive	United World Life Insurance Company	300532	Agent - Health	7/19/2019	6/22/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/26/2024	11/13/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/5/2022	2/3/2023
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/26/2024	11/13/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/18/2024	11/11/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	7/18/2024	11/11/2024

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	4/5/2019	2/10/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/5/2019	2/10/2025