DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Carmen Lynn	DOIID	757397	NAIC NPN	16184030

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/30/2011	4/30/2013
Inactive	Non Resident	Agent	Life	6/30/2011	4/30/2013
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	11/3/2011	4/30/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/3/2011	4/30/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/3/2011	4/30/2013
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	11/13/2011	4/30/2013
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Health	7/6/2011	12/26/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/4/2012	6/24/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	5/23/2012	6/24/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/8/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/8/2011	12/26/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	SelectQuote Insurance Services	533194	Agent - Life	8/1/2011	4/30/2013
Inactive	SelectQuote Insurance Services	533194	Agent - Health	8/1/2011	4/30/2013