DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Gayle Marie	DOIID	310588	NAIC NPN	7160480

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	9/29/2003	1/23/2009
Inactive	Resident	Agent	Health	10/27/2003	1/23/2009
* 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	Berkshire Life Insurance Company of America	300983	Agent - Health	3/22/2006	1/23/2009
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	3/22/2006	1/23/2009
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	11/3/2003	11/10/2004
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	11/3/2003	11/10/2004
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	3/22/2006	1/23/2009
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	3/22/2006	1/23/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/2/2004	1/23/2009
Inactive	Humana Insurance Company	301104	Agent - Health	11/2/2004	1/23/2009
Inactive	Humana Insurance Company	301104	Agent - Life	11/2/2004	1/23/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/2/2004	1/23/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/2/2004	1/23/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/25/2007	1/23/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/25/2007	1/23/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/25/2007	1/23/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/25/2007	1/23/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Garrett-Stotz Co	400616	Agent - Health	1/23/2006	1/23/2009
Inactive	Garrett-Stotz Co	400616	Agent - Life	1/23/2006	1/23/2009
Inactive	Mucci Insurance Group, LLC	513722	Agent - Health	4/7/2005	3/31/2008
Inactive	Mucci Insurance Group, LLC	513722	Agent - Life	4/7/2005	3/31/2008
Inactive	Phil Brown Insurance Agency Inc	400744	Agent - Health	9/10/2007	2/28/2008
Inactive	Phil Brown Insurance Agency Inc	400744	Agent - Life	9/10/2007	2/28/2008
Inactive	Thompson Associates Inc.	398584	Agent - Health	11/6/2003	9/15/2004
Inactive	Thompson Associates Inc.	398584	Agent - Life	11/6/2003	9/15/2004