DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Stacy Lynn	DOIID	982730	NAIC NPN	17127872

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/26/2024		4/30/2025
Inactive	Non Resident	Agent	Life	1/29/2018	4/30/2023
* 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	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	2/4/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/4/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	2/4/2024
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	4/3/2020	4/30/2023
Inactive	American General Life Insurance Company	301585	Agent - Health	2/8/2018	12/23/2019
Inactive	American General Life Insurance Company	301585	Agent - Life	2/8/2018	12/23/2019
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/5/2021	6/14/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/26/2018	6/14/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/26/2018	6/14/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	2/5/2024
Inactive	CareSource Kentucky Co.	838179	Agent - Health	11/15/2021	7/8/2022
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/8/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/10/2022	10/5/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/10/2022	10/5/2022
Active	Humana Insurance Company	301104	Agent - Health	6/21/2024
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/13/2019	9/25/2021
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/13/2019	9/25/2021
Inactive	LifeShield National Insurance Company	737111	Agent - Health	1/22/2019	12/21/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Life	3/16/2019	2/3/2020
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	11/22/2021	4/30/2023
Active	SilverScript Insurance Company	663526	Agent - Health	2/4/2024
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	1/29/2018	4/30/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/7/2019	11/10/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/7/2019	11/10/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/7/2019	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/7/2019	10/1/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/5/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/5/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/22/2024

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	10/26/2018	6/17/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/26/2018	6/17/2022
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	4/9/2020	4/22/2022