DEPARTMENT OF INSURANCE

Affiliations

Name	Frese, Thomas	DOIID	831640	NAIC NPN	3528897

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/7/2023		2/28/2027
Inactive	Non Resident	Agent	Life	1/15/2014	2/28/2017
* 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	12/15/2026	02/28/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXA XL Insurance Company Americas	300979	Agent - Health	7/13/2015	8/20/2015
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	11/5/2014	6/30/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/5/2014	6/30/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/5/2014	6/30/2016
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	4/10/2023
Inactive	Combined Insurance Company of America	301472	Agent - Health	1/28/2014	10/9/2015
Inactive	Combined Insurance Company of America	301472	Agent - Life	1/28/2014	10/9/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/23/2014	3/23/2016
Inactive	Companion Life Insurance Company	300191	Agent - Health	2/5/2014	8/4/2015
Inactive	Companion Life Insurance Company	300191	Agent - Life	2/5/2014	8/4/2015
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	11/5/2014	6/30/2016
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	11/5/2014	6/30/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/23/2014	3/23/2016
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	1/20/2014	1/20/2015
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	1/20/2014	1/20/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/7/2014	5/27/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/7/2014	5/27/2016
Inactive	HCC Life Insurance Company	301827	Agent - Health	4/16/2015	7/5/2016
Inactive	Humana Insurance Company	301104	Agent - Health	9/23/2014	3/23/2016
Inactive	Humana Insurance Company	301104	Agent - Life	9/23/2014	3/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/23/2014	3/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/23/2014	3/23/2016
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	4/8/2015	8/27/2015
Inactive	Time Insurance Company	300683	Agent - Health	1/29/2014	2/28/2017
Inactive	Time Insurance Company	300683	Agent - Life	1/29/2014	2/28/2017
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/10/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/10/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AHB Sales LLC	787451	Agent - Life	2/27/2014	3/31/2016
Inactive	AHB Sales LLC	787451	Agent - Health	2/27/2014	3/31/2016
Inactive	Homeland Healthcare, LLC	736705	Agent - Life	2/27/2014	12/9/2015
Inactive	Homeland Healthcare, LLC	736705	Agent - Health	2/27/2014	12/9/2015