DEPARTMENT OF INSURANCE
Affiliations
NameJohnson, Mary Ann DOIID792472NAIC NPN9689093
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth9/26/201211/30/2016 
InactiveNon ResidentAgentLife9/26/201211/30/2016 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Life Insurance Company301209Agent - Health10/1/201211/30/2016
InactiveAnthem Life Insurance Company301209Agent - Life10/1/201211/30/2016
InactiveCompBenefits Dental, Inc.591692Agent - Health10/12/20125/20/2014
InactiveCompanion Life Insurance Company300191Agent - Health1/29/201310/18/2013
InactiveCompanion Life Insurance Company300191Agent - Life1/29/201311/30/2016
InactiveDental Concern Inc. (The)301641Agent - Health10/12/20125/20/2014
InactiveFreedom Life Insurance Company of America300074Agent - Health3/21/20134/18/2014
InactiveFreedom Life Insurance Company of America300074Agent - Life3/21/20134/18/2014
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/12/20125/20/2014
InactiveHumana Health Plan, Inc.300142Agent - Health10/12/20125/20/2014
InactiveHumana Insurance Company301104Agent - Health10/12/20125/20/2014
InactiveHumana Insurance Company301104Agent - Life10/12/20125/20/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/12/20125/20/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Life10/12/20125/20/2014
InactiveKanawha Insurance Company300127Agent - Health7/26/20135/20/2014
InactiveKanawha Insurance Company300127Agent - Life7/26/20135/20/2014
InactiveStarr Indemnity and Liability Company301685Agent - Health1/31/201311/3/2016
InactiveState Farm Life Insurance Company301810Agent - Life12/4/20134/3/2015
InactiveState Farm Mutual Automobile Insurance Company301732Agent - Health12/4/20134/3/2015
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life10/1/201211/30/2016
InactiveDesignated Agent Company Inc.681257Agent - Health10/1/201211/30/2016
InactiveHomeland Healthcare, LLC736705Agent - Life2/14/20135/13/2013
InactiveHomeland Healthcare, LLC736705Agent - Health2/14/20135/13/2013

© Commonwealth of Kentucky. All rights reserved.