DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Shaun Raymond	DOIID	744044	NAIC NPN	7705542

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	5/25/2023		6/30/2027
Active	Non Resident	Agent	Property	5/25/2023		6/30/2027
Active	Non Resident	Agent	Health	5/25/2023		6/30/2027
Active	Non Resident	Agent	Casualty	5/25/2023		6/30/2027
* 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	04/15/2025	06/30/2025	05/19/2025	05/19/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/28/2011	6/30/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/28/2011	6/30/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	6/30/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/14/2011	6/30/2013
Inactive	Humana Insurance Company	301104	Agent - Health	1/14/2011	6/30/2013
Inactive	Humana Insurance Company	301104	Agent - Life	1/14/2011	6/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/14/2011	6/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/14/2011	6/30/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/28/2011	6/30/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/28/2011	6/30/2013
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/30/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	5/30/2023

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 - Life	2/14/2011	6/30/2013
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	2/14/2011	6/30/2013