DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnston, Phyllis M	DOIID	1109541	NAIC NPN	6886407

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/9/2020		6/30/2027
Active	Non Resident	Agent	Life	11/9/2020		6/30/2027
* 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	04/15/2025	06/30/2025	04/08/2025	04/08/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All Savers Insurance Company	301940	Agent - Health	10/9/2024
Active	All Savers Insurance Company	301940	Agent - Life	10/9/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	10/9/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	10/9/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/9/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/9/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Centerstone Insurance And Financial Services, LLC	595009	Agent - Life	10/9/2024
Active	Centerstone Insurance And Financial Services, LLC	595009	Agent - Health	10/9/2024
Denied	Mutual Med Insurance Services LLC	1105629	Agent - Life
Denied	Mutual Med Insurance Services LLC	1105629	Agent - Health
Denied	Mutual Med Insurance Services Southeast LLC	1110230	Agent - Life
Denied	Mutual Med Insurance Services Southeast LLC	1110230	Agent - Health