DEPARTMENT OF INSURANCE

Affiliations

Name	Page, Johnny M	DOIID	501563	NAIC NPN	5957903

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	1/6/2000	1/4/2017
Inactive	Resident	Agent	Life	1/6/2000	1/4/2017
* 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	AF&L Insurance Company	301582	Agent - Health	1/7/2002	12/1/2006
Inactive	Ability Insurance Company	301013	Agent - Health	4/29/2002	1/29/2003
Inactive	Ability Insurance Company	301013	Agent - Life	4/29/2002	1/29/2003
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	8/7/2001	11/22/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	8/7/2001	11/22/2007
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/6/2000	4/5/2016
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/6/2000	4/5/2016
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	8/2/2003	12/11/2014
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	8/2/2003	12/11/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/17/2010	11/2/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/17/2010	11/2/2016
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	9/18/2014	2/29/2016
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	9/18/2014	2/29/2016
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	8/8/2003	10/31/2006
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	8/8/2003	10/31/2006
Inactive	CHA HMO, Inc.	300662	Agent - Health	10/30/2003	12/10/2012
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	2/1/2006	12/29/2008
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	2/1/2006	12/29/2008
Inactive	Conseco Health Insurance Company	301725	Agent - Health	12/11/2001	5/19/2003
Inactive	Conseco Health Insurance Company	301725	Agent - Life	12/11/2001	5/19/2003
Inactive	Continental American Insurance Company	301700	Agent - Health	11/5/2010	12/20/2016
Inactive	Continental American Insurance Company	301700	Agent - Life	11/5/2010	12/20/2016
Inactive	Continental General Insurance Company	300691	Agent - Health	12/14/2000	3/13/2003
Inactive	Continental General Insurance Company	300691	Agent - Life	12/14/2000	3/13/2003
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/26/2001	10/1/2004
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	12/26/2001	10/1/2004
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	5/6/2002	3/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Health	11/2/2010	1/7/2014
Inactive	Genworth Life Insurance Company	300623	Agent - Life	11/2/2010	1/7/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/21/2005	12/13/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/21/2005	12/13/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	8/8/2003	10/31/2006
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	8/8/2003	10/31/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	9/2/2008	11/16/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	9/2/2008	11/16/2011
Inactive	Health Resources Inc.	301210	Agent - Health	10/19/2007	1/4/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/31/2010	7/10/2013
Inactive	Humana Insurance Company	301104	Agent - Health	3/31/2010	7/10/2013
Inactive	Humana Insurance Company	301104	Agent - Life	3/31/2010	7/10/2013
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	11/3/2009	11/7/2011
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	11/3/2009	11/7/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/30/2006	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/30/2006	4/25/2013
Inactive	Kansas City Life Insurance Company	301444	Agent - Health	9/28/2001	1/24/2003
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	9/28/2001	1/24/2003
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	11/9/2001	6/11/2003
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/13/2003	1/4/2017
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	8/18/2003	2/4/2005
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	8/18/2003	2/4/2005
Inactive	New York Life Insurance Company	300431	Agent - Health	4/20/2001	1/28/2003
Inactive	New York Life Insurance Company	300431	Agent - Life	4/20/2001	1/28/2003
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	11/22/2000	12/11/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	11/22/2000	12/11/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/22/2000	12/11/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/22/2000	12/11/2002
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	3/12/2001	8/14/2013
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	3/12/2001	8/14/2013
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	2/19/2001	6/19/2003
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	2/19/2001	6/19/2003
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	1/11/2002	11/5/2006
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	1/11/2002	11/5/2006
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/5/2010	1/29/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/5/2010	1/29/2016
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	11/22/2000	12/11/2002
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	11/22/2000	12/11/2002
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/13/2003	1/4/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/13/2003	1/4/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/22/2010	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/22/2010	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/22/2010	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/22/2010	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	9/2/2005	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	9/2/2005	6/23/2008
Inactive	CCIT Insurance Services, LLC	541200	Agent - Life	11/13/2001	1/12/2004
Inactive	CCIT Insurance Services, LLC	541200	Agent - Health	11/13/2001	1/12/2004
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/17/2010	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/17/2010	11/2/2016
Inactive	Medlink Inc	400721	Agent - Life	2/23/2010	1/4/2017
Inactive	Medlink Inc	400721	Agent - Health	2/23/2010	1/4/2017