DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Scott Stephen	DOIID	862919	NAIC NPN	5832083

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/8/2014		11/30/2024
Active	Non Resident	Agent	Health	12/8/2014		11/30/2024
Active	Non Resident	Agent	Property	12/8/2014		11/30/2024
Active	Non Resident	Agent	Life	12/8/2014		11/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Life Insurance Company	301209	Agent - Health	5/27/2015
Active	Anthem Life Insurance Company	301209	Agent - Life	5/27/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/17/2017	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/17/2017	6/15/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	5/27/2015
Active	Designated Agent Company Inc.	681257	Agent - Life	5/27/2015
Denied	Fisher Brown Bottrell Ins Inc	630638	Agent - Property
Active	Fisher Brown Bottrell Ins Inc	630638	Agent - Health	6/28/2023
Denied	Fisher Brown Bottrell Ins Inc	630638	Agent - Casualty
Active	Fisher Brown Bottrell Ins Inc	630638	Agent - Life	6/28/2023