DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Richard W	DOIID	639046	NAIC NPN	6855584

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	9/5/2006		4/30/2025
Pending Replacement	Non Resident	Agent	Life	9/5/2006		4/30/2025
Pending Replacement	Non Resident	Agent	Property	9/5/2006		4/30/2025
Pending Replacement	Non Resident	Agent	Casualty	9/5/2006		4/30/2025
* 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	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/21/2011	12/3/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/21/2011	12/3/2012
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	12/21/2010	4/6/2020
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	12/21/2010	4/6/2020
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	12/21/2010	4/6/2020
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	12/21/2010	4/6/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/21/2011	12/3/2012
Inactive	Humana Insurance Company	301104	Agent - Health	10/21/2011	12/3/2012
Inactive	Humana Insurance Company	301104	Agent - Life	10/21/2011	12/3/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/21/2011	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/21/2011	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/21/2011	12/3/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/21/2011	12/3/2012
Inactive	New York Life Insurance Company	300431	Agent - Health	3/16/2015	7/26/2023
Inactive	New York Life Insurance Company	300431	Agent - Life	3/16/2015	7/26/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Aptia Insurance Services Group LLC	1283785	Agent - Life
Denied	Aptia Insurance Services Group LLC	1283785	Agent - Health
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Property	1/13/2014	4/6/2020
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Casualty	1/13/2014	4/6/2020
Inactive	Mercer Health & Benefits LLC	607080	Agent - Life	1/15/2019	7/26/2023
Inactive	Mercer Health & Benefits LLC	607080	Agent - Health	1/15/2019	7/26/2023
Inactive	Mercer Health & Benefits LLC	607080	Agent - Property	1/15/2019	4/6/2020
Inactive	Mercer Health & Benefits LLC	607080	Agent - Casualty	1/15/2019	4/6/2020
Inactive	Seabury & Smith Inc	394854	Agent - Property	2/3/2011	4/8/2014
Inactive	Seabury & Smith Inc	394854	Agent - Casualty	2/3/2011	4/8/2014