DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Rebecca Ann	DOIID	891326	NAIC NPN	17431057

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/16/2015	6/5/2018
Inactive	Non Resident	Agent	Health	9/16/2015	6/5/2018
* 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	Anthem Life Insurance Company	301209	Agent - Health	11/12/2015	6/5/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/12/2015	6/5/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/17/2015	4/8/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/17/2015	4/8/2017

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	11/12/2015	6/5/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/12/2015	6/5/2018
Inactive	Gravie Agency LLC	825889	Agent - Life	4/26/2016	6/5/2018
Inactive	Gravie Agency LLC	825889	Agent - Health	4/26/2016	6/5/2018