DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Shannon	DOIID	1240766	NAIC NPN	20473588

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/4/2022		6/30/2025
* 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	Arcadian Health Plan, Inc.	728196	Agent - Health	11/20/2023	5/21/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/6/2023	5/21/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/19/2023	5/21/2024
Inactive	Humana Insurance Company	301104	Agent - Health	9/19/2023	5/21/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/19/2023	5/21/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Trubridge Inc	717747	Agent - Health	6/6/2023	5/21/2024