DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson-Bomar, Beverly	DOIID	1263422	NAIC NPN	7832762

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/17/2023		9/30/2026
Active	Non Resident	Agent	Health	3/17/2023		9/30/2026
* 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	07/15/2024	09/30/2024	09/10/2024	09/10/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/17/2023
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	3/17/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/17/2023
Active	Colonial Penn Life Insurance Company	300491	Agent - Life	12/9/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	3/17/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	TZ Insurance Solutions LLC	727470	Agent - Life	2/29/2024
Active	TZ Insurance Solutions LLC	727470	Agent - Health	2/29/2024