DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Tiffany Lasonia	DOIID	1145772	NAIC NPN	19607313

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/19/2021		5/31/2027
Active	Non Resident	Agent	Life	7/19/2021		5/31/2027
* 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
Inactive	CMFG Life Insurance Company	300929	Agent - Health	10/5/2021	11/13/2025
Inactive	CMFG Life Insurance Company	300929	Agent - Life	10/5/2021	11/13/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Dental Choice Agency Inc.	398085	Agent - Health