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	Life	1/28/2019		4/30/2027
Active	Non Resident	Agent	Health	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.

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
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/16/2020	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/16/2020	4/15/2025
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