DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Brandi Jil	DOIID	620404	NAIC NPN	8651188

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	12/29/2005	11/30/2024
Active	Resident	Agent	Life	8/1/2006	11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Life Insurance Company	301585	Agent - Health	7/21/2010	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	7/21/2010	10/25/2012
Active	Anthem Life Insurance Company	301209	Agent - Health	9/11/2006
Active	Anthem Life Insurance Company	301209	Agent - Life	9/11/2006
Inactive	Encova Life Insurance Company	301818	Agent - Life	11/5/2007	1/1/2024
Inactive	First Colony Life Insurance Company	301179	Agent - Health	10/31/2006	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	10/31/2006	1/1/2007
Inactive	General American Life Insurance Company	300280	Agent - Health	12/21/2006	11/23/2009
Inactive	General American Life Insurance Company	300280	Agent - Life	12/21/2006	11/23/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Health	4/2/2009	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	4/2/2009	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	3/19/2010	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	3/19/2010	12/7/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/9/2006	3/21/2008
Inactive	Grange Life Insurance Company	300128	Agent - Life	4/2/2014	12/28/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/25/2006	2/7/2009
Inactive	Humana Insurance Company	301104	Agent - Health	8/25/2006	2/7/2009
Inactive	Humana Insurance Company	301104	Agent - Life	8/25/2006	2/7/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/25/2006	2/7/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/25/2006	2/7/2009
Active	Kansas City Life Insurance Company	301444	Agent - Life	5/1/2019
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	12/21/2006	11/23/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	12/21/2006	11/23/2009
Active	Pan-American Life Insurance Company	301530	Agent - Life	1/1/2024
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/4/2008	9/9/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/4/2008	9/9/2015
Active	UNUM Life Insurance Company of America	300817	Agent - Health	11/4/2008
Active	UNUM Life Insurance Company of America	300817	Agent - Life	11/4/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Better Source Benefit Company Inc	564388	Agent - Health	7/19/2006	2/11/2010
Inactive	Better Source Benefit Company Inc	564388	Agent - Life	8/25/2006	2/11/2010
Active	Broad Street Brokerage Insurance Agency, LLC	540067	Agent - Health	10/14/2008
Active	Broad Street Brokerage Insurance Agency, LLC	540067	Agent - Life	10/14/2008
Active	Cundiff & Company Insurance Inc.	400678	Agent - Health	4/6/2009
Active	Cundiff & Company Insurance Inc.	400678	Agent - Life	4/6/2009
Active	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013