DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Kirk Wyatt	DOIID	510901	NAIC NPN	1283306

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/26/2000		10/31/2025
Active	Non Resident	Agent	Health	6/26/2000		10/31/2025
Inactive	Non Resident	Agent	Health Maintenance Organization	6/26/2000	3/1/2001
* 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	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	4/23/2008	7/5/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/23/2008	7/5/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/23/2008	7/5/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/4/2017	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/4/2017	4/15/2025
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	7/6/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	6/26/2000	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	6/26/2000	7/6/2012
Inactive	Humana Insurance Company	301104	Agent - Life	6/26/2000	7/6/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	7/6/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	7/6/2012
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	4/9/2001
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	4/9/2001
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	11/6/2000	12/7/2011
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	11/6/2000	12/7/2011
Active	Trustmark Insurance Company	300317	Agent - Health	9/12/2000
Active	Trustmark Insurance Company	300317	Agent - Life	9/12/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	3/21/2016
Active	Designated Agent Company Inc.	681257	Agent - Life	1/4/2017
Active	Designated Agent Company Inc.	681257	Agent - Health	1/4/2017
Inactive	MHBT Inc	751485	Agent - Life	4/6/2011	6/14/2016
Inactive	MHBT Inc	751485	Agent - Health	4/6/2011	6/14/2016
Active	Marsh & Mclennan Agency LLC	716460	Agent - Life	7/29/2015
Active	Marsh & Mclennan Agency LLC	716460	Agent - Health	7/29/2015
Inactive	Mc & H Life Agency Inc	666620	Agent - Life	10/31/2007	6/16/2016
Inactive	Mc & H Life Agency Inc	666620	Agent - Health	10/31/2007	6/16/2016