DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson III, Charles Spurgeon	DOIID	575906	NAIC NPN	7867653

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	9/23/2003	9/1/2015
Inactive	Resident	Agent	Health	9/23/2003	9/1/2015
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/23/2003	10/20/2015
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/23/2003	10/20/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	9/8/2010
Inactive	Genworth Life Insurance Company	300623	Agent - Health	2/24/2009	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	2/24/2009	12/7/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/1/2006	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Health	4/1/2006	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Life	4/1/2006	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/1/2006	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/1/2006	9/8/2010
Inactive	Life Insurance Company of Alabama	301439	Agent - Health	5/25/2006	7/31/2010
Inactive	Life Insurance Company of Alabama	301439	Agent - Life	5/25/2006	7/31/2010
Inactive	MedAmerica Insurance Company	301568	Agent - Health	6/30/2005	9/18/2006
Inactive	Protective Life Insurance Company	300638	Agent - Health	3/21/2005	6/8/2006
Inactive	Protective Life Insurance Company	300638	Agent - Life	3/21/2005	6/8/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	9/1/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	9/1/2015
Inactive	Medlink Inc	400721	Agent - Health	11/1/2007	9/1/2015
Inactive	Medlink Inc	400721	Agent - Life	11/1/2007	9/1/2015
Inactive	Prime Solutions LLC	629243	Agent - Health	6/4/2010	3/31/2012
Inactive	Prime Solutions LLC	629243	Agent - Life	6/4/2010	3/31/2012