DEPARTMENT OF INSURANCE

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		4/30/2025
Active	Non Resident	Agent	Life	3/2/2012		4/30/2025
* 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
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
Active	Humana Health Plan, Inc.	300142	Agent - Health	8/4/2020
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