DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2025	06/30/2025

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