Individual Information

BRADLEY ERIC FREDRICKSON

WOODLAND HILLS, CA 91367

Active

brad@insurancewebquote.com

07/16/2020

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	77816	10/01/2001	Active	07/16/2020	07/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Health	10/01/2001	Active	07/16/2020
Life	10/01/2001	Active	07/16/2020
Health	07/24/2001	Inactive	10/01/2001
Life	07/24/2001	Inactive	10/01/2001
Var. Annuities/Var. Life	01/12/2005	Inactive	02/01/2008

Company Name	Appointment Type	Status	Active Date
13151
CONTINENTAL LIFE INSURANCE COMPANY OF BRENTWOOD TENNESSEE	Health	Active	07/10/2021
971
Company Name	Appointment Type	Status	Active Date
HUMANA INSURANCE COMPANY	Health	Active	12/07/2023
	Life	Active	12/07/2023
141630
Company Name	Appointment Type	Status	Active Date
HUMANA WISCONSIN HEALTH ORGANIZATION INSURANCE CORPORATION	Health	Active	10/26/2022
431
Company Name	Appointment Type	Status	Active Date
MUTUAL OF OMAHA INSURANCE COMPANY	Health	Active	08/17/2020
817
Company Name	Appointment Type	Status	Active Date
PRUCO LIFE INSURANCE COMPANY	Life	Active	09/09/2022
120736
Company Name	Appointment Type	Status	Active Date
SCAN HEALTH PLAN NEVADA DBA SCAN HEALTH PLAN	Health	Active	09/27/2021
17083
Company Name	Appointment Type	Status	Active Date
SILVERSCRIPT INSURANCE COMPANY	Health	Active	11/04/2021
672
Company Name	Appointment Type	Status	Active Date
UNITED OF OMAHA LIFE INSURANCE COMPANY	Health	Active	08/17/2020
	Life	Active	08/17/2020
16894
Company Name	Appointment Type	Status	Active Date
WELLCARE PRESCRIPTION INSURANCE INC	Health	Active	11/09/2021

row(s) 1 - 11 of 11

Organization	Association Type	Type	Beg dte	End dte
BRAD FREDRICKSON INSURANCE & FINANCIAL SERVICES, INC.	Designated Resp Lic Prdcr	Agency	08/11/2020	-

1 - 1