DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Kelti Grace	DOIID	659896	NAIC NPN	9428086

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	3/17/2008	5/31/2019
Inactive	Non Resident	Agent	Life	3/17/2008	5/31/2019
* 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	Arcadian Health Plan, Inc.	728196	Agent - Health	10/11/2017	9/4/2018
Inactive	CMFG Life Insurance Company	300929	Agent - Health	7/30/2007	3/7/2008
Inactive	CMFG Life Insurance Company	300929	Agent - Life	7/30/2007	3/7/2008
Inactive	CUNA Mutual Life Insurance Company	301467	Agent - Health	7/30/2007	12/31/2007
Inactive	CUNA Mutual Life Insurance Company	301467	Agent - Life	7/30/2007	12/31/2007
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/17/2011	9/4/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	9/4/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/6/2014	9/4/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/5/2012	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009	9/4/2018
Inactive	Humana Insurance Company	301104	Agent - Health	9/3/2009	9/4/2018
Inactive	Humana Insurance Company	301104	Agent - Life	9/3/2009	9/4/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/26/2008	9/4/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/26/2008	9/4/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/6/2014	9/4/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	9/4/2018
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/5/2012	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/5/2012	5/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/21/2015	10/14/2016
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/21/2015	10/14/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	11/21/2017	9/4/2018