DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Staci S	DOIID	854346	NAIC NPN	13202760

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/30/2014	6/30/2026
Active	Non Resident	Agent	Health	9/30/2014	6/30/2026
* 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	04/15/2026	06/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/14/2017
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	7/14/2017
Active	Aetna Life Insurance Company	301140	Agent - Life	7/14/2017
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/20/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	12/20/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/1/2017	12/20/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/1/2017	12/20/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	12/20/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/29/2024
Active	First Health Life & Health Insurance Company	301735	Agent - Health	7/14/2017
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/5/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/13/2016	4/20/2018
Active	Humana Insurance Company	301104	Agent - Health	2/26/2024
Inactive	Humana Insurance Company	301104	Agent - Life	10/13/2016	4/20/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2016	4/20/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/20/2018
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	8/23/2025
Active	SilverScript Insurance Company	663526	Agent - Health	10/20/2019
Active	Tier One Insurance Company	301056	Agent - Health	5/13/2025
Active	Tier One Insurance Company	301056	Agent - Life	5/13/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/1/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	6/1/2022	12/22/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/1/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/17/2019	12/29/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/7/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/1/2017	2/10/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	9/1/2017	2/10/2025