DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Shawnette Rachquel	DOIID	604925	NAIC NPN	8415592

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Property
Denied	Resident	Agent	Casualty
Inactive	Resident	Agent	Health	6/10/2008	7/1/2011
Inactive	Resident	Agent	Life	6/10/2008	7/1/2011
* 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	10/28/2008	3/10/2010
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/28/2008	3/10/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	9/8/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Health	5/4/2006	7/1/2006
Inactive	Humana Insurance Company	301104	Agent - Life	5/4/2006	7/1/2006
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/7/2008	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/7/2008	9/8/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/7/2008	9/8/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/7/2008	9/8/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Health	7/12/2005	7/1/2006
Inactive	John Alden Life Insurance Company	300573	Agent - Life	7/12/2005	7/1/2006
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	4/26/2005	6/6/2006
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	4/12/2005	6/6/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Health	6/6/2005	7/1/2006
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Life	6/6/2005	7/1/2006