DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Thomas Albert	DOIID	825160	NAIC NPN	16672133

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	10/21/2013	11/30/2016
Inactive	Non Resident	Agent	Health	9/15/2020	11/30/2022
* 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 of Ohio Inc.	1065035	Agent - Health	11/30/2020	11/30/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/7/2013	11/30/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/7/2013	11/30/2016
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/19/2021	11/30/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	10/9/2020	1/28/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/22/2015	3/23/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/22/2015	3/23/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/22/2015	3/23/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/22/2015	3/23/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/22/2015	3/23/2016
Inactive	Humana Insurance Company	301104	Agent - Health	4/22/2015	3/23/2016
Inactive	Humana Insurance Company	301104	Agent - Life	4/22/2015	3/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/22/2015	3/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/22/2015	3/23/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/22/2015	3/23/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/22/2015	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/22/2015	11/3/2015
Inactive	SilverScript Insurance Company	663526	Agent - Health	11/30/2020	11/30/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/13/2020	1/5/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/13/2020	1/5/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/13/2020	1/5/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/13/2020	1/5/2021

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	11/7/2013	11/30/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/7/2013	11/30/2016