DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Carlos Martinez	DOIID	984618	NAIC NPN	18651783

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/19/2019	4/30/2021
Inactive	Non Resident	Agent	Personal Lines	2/18/2022	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
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/27/2019	4/30/2021
Inactive	Progressive Direct Insurance Company	301379	Agent - Personal Lines	4/8/2022	6/20/2022
Inactive	United American Insurance Company	300910	Agent - Health	5/23/2019	9/17/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/24/2019	12/18/2019

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 - Health	4/29/2019	4/30/2021