DEPARTMENT OF INSURANCE

Affiliations

Name	Friesner, Andrew J	DOIID	570327	NAIC NPN	4684298

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	5/11/2004	10/31/2023
Inactive	Non Resident	Agent	Life	5/11/2004	10/31/2023
Inactive	Non Resident	Agent	Health	5/11/2004	10/31/2023
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ALPHA Dental Programs, Inc.	635438	Agent - Health	8/9/2018	10/31/2023
Inactive	Aetna Health Inc.	300694	Agent - Health	3/22/2007	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	10/31/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/2/2020	10/31/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/22/2007	10/31/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/22/2007	10/31/2023
Inactive	American General Life Insurance Company	301585	Agent - Health	9/11/2014	10/31/2023
Inactive	American General Life Insurance Company	301585	Agent - Life	9/11/2014	10/31/2023
Inactive	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	9/11/2014	10/31/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	10/31/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021	10/31/2023
Inactive	Banner Life Insurance Company	301696	Agent - Life	10/22/2015	10/11/2019
Inactive	CareSource Kentucky Co.	838179	Agent - Health	12/26/2019	11/21/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/22/2015	12/13/2016
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/23/2021	10/31/2023
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/22/2015	12/13/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/30/2014	8/10/2023
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/30/2014	8/10/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	7/12/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/8/2012	7/12/2018
Inactive	Humana Insurance Company	301104	Agent - Health	8/9/2013	7/12/2018
Inactive	Humana Insurance Company	301104	Agent - Life	8/9/2013	7/12/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/8/2012	7/12/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/8/2012	7/12/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	7/12/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	7/12/2018
Inactive	Independence American Insurance Company	524747	Agent - Health	11/18/2019	12/18/2020
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/9/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/9/2013	10/22/2015
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	8/6/2015	10/29/2015
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	12/18/2019	10/31/2023
Inactive	National Health Insurance Company	300554	Agent - Health	4/5/2019	10/31/2023
Inactive	National Health Insurance Company	300554	Agent - Life	4/5/2019	10/31/2023
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	5/17/2004	2/2/2007
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	5/17/2004	2/2/2007
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Variable Life and Variable Annuities	5/17/2004	2/2/2007
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	10/31/2023
Inactive	Time Insurance Company	300683	Agent - Health	3/3/2008	6/14/2011
Inactive	Time Insurance Company	300683	Agent - Life	3/3/2008	6/14/2011
Inactive	United American Insurance Company	300910	Agent - Health	3/14/2007	6/19/2008
Inactive	United American Insurance Company	300910	Agent - Life	3/14/2007	6/19/2008
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/6/2007	12/7/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/6/2007	3/20/2019
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/13/2016	12/7/2017
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/12/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/12/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/6/2007	11/30/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/6/2007	11/30/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2015	12/7/2017
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/7/2019	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	CBISA Reaquisitian Corp	547026	Agent - Health	3/15/2007	10/31/2023
Inactive	CBISA Reaquisitian Corp	547026	Agent - Life	3/15/2007	10/31/2023
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/6/2013	10/31/2023
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/6/2013	10/31/2023