DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Deivyon	DOIID	1227495	NAIC NPN	20004920

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/10/2025		1/31/2027
Active	Non Resident	Agent	Health	9/10/2025		1/31/2027
* 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	11/15/2026	01/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	12/17/2025	6/1/2026
Inactive	Aetna Life Insurance Company	301140	Agent - Health	12/17/2025	6/1/2026
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/29/2026
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/29/2026
Inactive	CareSource Kentucky Co.	838179	Agent - Health	9/14/2022	10/4/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/29/2026
Inactive	SilverScript Insurance Company	663526	Agent - Health	12/17/2025	6/1/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	1/15/2026	2/20/2026