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		4/30/2027
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.

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	Arcadian Health Plan, Inc.	728196	Agent - Health	5/12/2025
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