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DEPARTMENT OF INSURANCE
Affiliations
Name
Johnson, Mary Ann
DOIID
792472
NAIC NPN
9689093
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
9/26/2012
11/30/2016
Inactive
Non Resident
Agent
Life
9/26/2012
11/30/2016
* 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
Anthem Life Insurance Company
301209
Agent - Health
10/1/2012
11/30/2016
Inactive
Anthem Life Insurance Company
301209
Agent - Life
10/1/2012
11/30/2016
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
10/12/2012
5/20/2014
Inactive
Companion Life Insurance Company
300191
Agent - Health
1/29/2013
10/18/2013
Inactive
Companion Life Insurance Company
300191
Agent - Life
1/29/2013
11/30/2016
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
10/12/2012
5/20/2014
Inactive
Freedom Life Insurance Company of America
300074
Agent - Health
3/21/2013
4/18/2014
Inactive
Freedom Life Insurance Company of America
300074
Agent - Life
3/21/2013
4/18/2014
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
10/12/2012
5/20/2014
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
10/12/2012
5/20/2014
Inactive
Humana Insurance Company
301104
Agent - Health
10/12/2012
5/20/2014
Inactive
Humana Insurance Company
301104
Agent - Life
10/12/2012
5/20/2014
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
10/12/2012
5/20/2014
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
10/12/2012
5/20/2014
Inactive
Kanawha Insurance Company
300127
Agent - Health
7/26/2013
5/20/2014
Inactive
Kanawha Insurance Company
300127
Agent - Life
7/26/2013
5/20/2014
Inactive
Starr Indemnity and Liability Company
301685
Agent - Health
1/31/2013
11/3/2016
Inactive
State Farm Life Insurance Company
301810
Agent - Life
12/4/2013
4/3/2015
Inactive
State Farm Mutual Automobile Insurance Company
301732
Agent - Health
12/4/2013
4/3/2015
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Designated Agent Company Inc.
681257
Agent - Life
10/1/2012
11/30/2016
Inactive
Designated Agent Company Inc.
681257
Agent - Health
10/1/2012
11/30/2016
Inactive
Homeland Healthcare, LLC
736705
Agent - Life
2/14/2013
5/13/2013
Inactive
Homeland Healthcare, LLC
736705
Agent - Health
2/14/2013
5/13/2013
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