DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Jeffery	DOIID	341826	NAIC NPN	7187869

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	7/8/1981		9/30/2024
Active	Resident	Agent	Variable Life and Variable Annuities	5/31/2001		9/30/2024
Active	Resident	Agent	Health	7/8/1981		9/30/2024
Inactive	Resident	Agent	Health Maintenance Organization	7/28/1989	3/1/2001
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	4/1/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	7/28/1989	3/1/2001
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/28/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	10/1/1999
Active	Anthem Life Insurance Company	301209	Agent - Life	10/1/1999
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	12/14/2017
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	1/29/2010	3/31/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/8/2012	12/10/2018
Active	CompBenefits Insurance Company	301864	Agent - Health	3/31/2021
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/8/2012	12/10/2018
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/14/2017
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/2/2019
Active	Humana Health Plan, Inc.	300142	Agent - Health	12/18/2018
Active	Humana Insurance Company	301104	Agent - Health	10/8/2012
Active	Humana Insurance Company	301104	Agent - Life	10/8/2012
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	10/8/2012
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	10/8/2012
Active	Humana Medical Plan, Inc.	801568	Agent - Health	12/14/2017
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	12/14/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/8/2012	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/8/2012	10/22/2015
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	1/3/2014	10/29/2015
Active	NYLIFE Insurance Company of Arizona	301642	Agent - Health	8/8/1994
Active	NYLIFE Insurance Company of Arizona	301642	Agent - Life	8/8/1994
Inactive	National Travelers Life Company	300304	Agent - Health	5/13/1998	10/4/1999
Inactive	National Travelers Life Company	300304	Agent - Life	5/13/1998	10/4/1999
Active	New York Life Insurance Company	300431	Agent - Health	7/8/1981
Active	New York Life Insurance Company	300431	Agent - Life	7/8/1981
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Health	11/24/1981
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Life	11/24/1981
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Variable Life and Variable Annuities	5/31/2001
Inactive	Time Insurance Company	300683	Agent - Health	6/23/1983	10/6/2004
Inactive	Time Insurance Company	300683	Agent - Life	6/23/1983	10/6/2004
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/10/2012
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	7/10/2012
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/10/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/10/2012	12/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/24/1999	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/24/1999	6/23/2008
Active	Designated Agent Company Inc.	681257	Agent - Life	6/30/2008
Active	Designated Agent Company Inc.	681257	Agent - Health	6/30/2008
Inactive	Insurance One Inc.	399840	Agent - Life	10/21/1991	5/31/2004
Inactive	Insurance One Inc.	399840	Agent - Health	10/21/1991	5/31/2004
Inactive	Medlink Inc	400721	Agent - Life	4/12/2007	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	4/12/2007	3/31/2024
Active	NYLIFE Securities, LLC	645470	Agent - Variable Life and Variable Annuities	3/4/2008