black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BETH ELLEN FREDERICKSON

PRODUCER NON-RESIDENT

License Number:
PRN419661
Status:
First Licensure:
05/28/2022
Cancel Date:
None

Mailing:
MONTVILLE, NJ 07045
Phone:
+1 (973) 652-8272
Fax:
+1 (973) 954-5532
Email:
beth_frederickson@us.aflac.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/28/2022

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS
05/28/2022 LHF306110

Authority

Description Issue Date Termination Date Status
HEALTH 05/28/2022 Active
LIFE 05/28/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
15880873

Other Addresses

Address Type
BETH E FREDERICKSON
19 DAVENPORT RD
MONTVILLE, NJ 07045-9184
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 08/10/2026 07:53:23 AM