DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Jon Alan	DOIID	616019	NAIC NPN	1004170

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/20/2005	8/31/2013
Inactive	Non Resident	Agent	Health	9/20/2005	8/31/2013
* 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	Anthem Life Insurance Company	301209	Agent - Health	8/21/2006	12/29/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/21/2006	12/29/2009
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/8/2010	7/10/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/8/2010	7/10/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/13/2013	8/31/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/8/2008	5/13/2013
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/8/2008	5/13/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/30/2011	5/13/2013

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 - Health	8/21/2006	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/21/2006	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/30/2008	12/30/2009
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/30/2008	12/30/2009