DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson Jr, Jerry L	DOIID	919489	NAIC NPN	9673760

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	6/27/2016	8/31/2020
Inactive	Non Resident	Agent	Life	6/27/2016	8/31/2020
* 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	ACE American Insurance Company	300625	Agent - Health	12/29/2016	8/31/2020
Inactive	AXIS Insurance Company	301290	Agent - Health	3/31/2017	10/10/2019
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	1/5/2017	8/31/2020
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/28/2020	8/31/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/5/2017	8/31/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/5/2017	8/31/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/23/2016	10/20/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/23/2016	10/20/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/23/2016	10/20/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/13/2017	6/15/2018
Inactive	Federal Insurance Company	301144	Agent - Health	12/29/2016	8/31/2020
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	1/5/2017	8/31/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/10/2017	2/23/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/10/2017	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/10/2017	6/15/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/10/2017	12/8/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/10/2017	12/8/2017
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	11/13/2017	9/28/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/24/2019	8/31/2020
Inactive	Unified Life Insurance Company	543169	Agent - Health	5/29/2019	10/22/2020

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	12/30/2016	10/17/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/30/2016	10/17/2018