DEPARTMENT OF INSURANCE

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	Property	5/25/2023		6/30/2025
Active	Non Resident	Agent	Casualty	5/25/2023		6/30/2025
Active	Non Resident	Agent	Health	5/25/2023		6/30/2025
Active	Non Resident	Agent	Life	5/25/2023		6/30/2025
* 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	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