DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Charlotte	DOIID	1053979	NAIC NPN	18059722

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/29/2019		10/31/2026
Active	Non Resident	Agent	Life	8/29/2019		10/31/2026
* 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	08/15/2024	10/31/2024	09/24/2024	09/24/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	7/20/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/7/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/20/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	11/7/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	7/20/2020	8/11/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/12/2019	5/6/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/12/2019	5/6/2021
Active	Continental American Insurance Company	301700	Agent - Health	10/24/2021
Active	Continental American Insurance Company	301700	Agent - Life	10/24/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/20/2020
Inactive	Lumico Life Insurance Company	300354	Agent - Life	6/10/2020	2/9/2024
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	2/4/2022	1/25/2023
Active	SilverScript Insurance Company	663526	Agent - Health	11/7/2019
Active	Tier One Insurance Company	301056	Agent - Life	10/30/2023

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	9/19/2019	5/7/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/19/2019	5/7/2021
Active	Optavise, LLC	671337	Agent - Life	10/26/2020
Active	Optavise, LLC	671337	Agent - Health	10/26/2020