DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Kelli	DOIID	893008	NAIC NPN	17725728

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement CE Compliance	Resident	Agent	Health	10/12/2015
Pending Replacement CE Compliance	Resident	Agent	Life	10/12/2015
* 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	03/15/2026	05/31/2026	05/29/2026	05/29/2026	Yes

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	12/28/2015	6/29/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/28/2015	6/29/2021
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Health	10/13/2016	7/18/2019
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Life	10/13/2016	7/18/2019
Pending Replacement	Dental Concern Inc. (The)	301641	Agent - Health	8/8/2025
Pending Replacement	Humana Insurance Company	301104	Agent - Health	8/8/2025
Pending Replacement	Humana Insurance Company of Kentucky	300826	Agent - Health	8/8/2025
Pending Replacement	Humana Insurance Company of Kentucky	300826	Agent - Life	8/8/2025

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	12/28/2015	6/29/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/28/2015	6/29/2021
Inactive	Medlink Inc	400721	Agent - Life	12/28/2015	6/29/2021
Inactive	Medlink Inc	400721	Agent - Health	12/28/2015	6/29/2021