DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Staci S	DOIID	854346	NAIC NPN	13202760

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/30/2014	6/30/2026
Active	Non Resident	Agent	Health	9/30/2014	6/30/2026
* 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	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/14/2017
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	7/14/2017
Active	Aetna Life Insurance Company	301140	Agent - Life	7/14/2017
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/20/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	12/20/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/1/2017	12/20/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/1/2017	12/20/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	12/20/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/29/2024
Active	First Health Life & Health Insurance Company	301735	Agent - Health	7/14/2017
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/5/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/13/2016	4/20/2018
Active	Humana Insurance Company	301104	Agent - Health	2/26/2024
Inactive	Humana Insurance Company	301104	Agent - Life	10/13/2016	4/20/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2016	4/20/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/20/2018
Active	SilverScript Insurance Company	663526	Agent - Health	10/20/2019
Active	Tier One Insurance Company	301056	Agent - Health	5/13/2025
Active	Tier One Insurance Company	301056	Agent - Life	5/13/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/1/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	6/1/2022	12/22/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/1/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/17/2019	12/29/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/7/2019

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 - Health	9/1/2017	2/10/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	9/1/2017	2/10/2025