DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Cooper Freeman	DOIID	776026	NAIC NPN	8094310

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/2/2012		4/30/2027
Active	Non Resident	Agent	Life	3/2/2012		4/30/2027
* 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	02/15/2025	04/30/2025	02/18/2025	02/18/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	9/11/2020
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/27/2012	7/11/2012
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/27/2012	7/11/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/4/2020	12/12/2024
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	3/19/2015	11/30/2016
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	3/19/2015	11/30/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Valent Group, LLC	570670	Agent - Life	4/27/2012
Active	Valent Group, LLC	570670	Agent - Health	4/27/2012