DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fraker, J Lysa Nicole	DOIID	1208635	NAIC NPN	20327753

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/18/2024		2/28/2026
Active	Non Resident	Agent	Life	9/18/2024		2/28/2026
* 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	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/27/2024	11/19/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/8/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	3/8/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/10/2023	2/29/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	5/10/2023	2/29/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/10/2023	2/29/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/5/2023	2/29/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/5/2023	2/29/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/31/2022	7/14/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/28/2023	8/23/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/10/2023	2/29/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/7/2022	7/14/2023
Inactive	Humana Insurance Company	301104	Agent - Health	10/31/2022	7/14/2023
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/22/2022	7/14/2023
Active	SilverScript Insurance Company	663526	Agent - Health	3/8/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/28/2023	8/23/2023
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/28/2023	8/23/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Alight Health Market Insurance Solutions Inc	643602	Agent - Life
Inactive	Alight Health Market Insurance Solutions Inc	643602	Agent - Health	10/8/2024	10/21/2024