DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson's Inc. DBA : Johnson's Funeral Home Inc.	DOIID	400932	NAIC NPN	7222772

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	9/28/1987	3/31/2015
* 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	Forethought Life Insurance Company	301407	Agent - Life	9/28/1987	3/31/2015
Inactive	Kentucky Funeral Directors Life Insurance Company	532905	Agent - Life	4/9/2008	3/31/2015
Inactive	Lincoln Memorial Life Insurance Company	300463	Agent - Life	2/8/2005	4/28/2009
Inactive	Lumico Life Insurance Company	300354	Agent - Life	1/16/1996	3/31/1997

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Johnson, Elizabeth L	307474	Agent - Life	8/31/1999	3/31/2015
Inactive	Johnson, Frankie Cagle	387014	Agent - Life	9/28/1987	8/9/1999
Inactive	Johnson, Roy Charles	371616	Agent - Life	9/28/1987	8/9/1999