DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Chaz Ron	DOIID	1026756	NAIC NPN	19019308

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/28/2019		4/30/2027
Active	Non Resident	Agent	Life	1/28/2019		4/30/2027
* 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	02/15/2025	04/30/2025	03/03/2025	03/03/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/22/2022
Active	Anthem Life Insurance Company	301209	Agent - Health	5/16/2020
Active	Anthem Life Insurance Company	301209	Agent - Life	5/16/2020
Active	CareSource Kentucky Co.	838179	Agent - Health	5/1/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	4/28/2020	2/10/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	9/13/2021	2/10/2025
Active	Golden Rule Insurance Company	301943	Agent - Health	2/11/2019
Active	Golden Rule Insurance Company	301943	Agent - Life	2/11/2019
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	4/11/2022

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 - Life	5/18/2020	2/10/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/18/2020	2/10/2025
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Life	12/29/2021
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/29/2021