DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Jeremiah Adrian	DOIID	833975	NAIC NPN	17193740

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	2/21/2014	7/1/2017
* 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	Golden Rule Insurance Company	301943	Agent - Health	10/23/2015	7/7/2017
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	3/3/2014	10/29/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/4/2014	8/31/2015
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	10/23/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/4/2014	8/31/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/4/2014	8/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Health	4/23/2014	7/1/2017