DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Latrisha Nicole	DOIID	1030898	NAIC NPN	8962065

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/7/2019		1/31/2026
Active	Non Resident	Agent	Health	3/7/2019		1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/9/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/16/2020	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/16/2020	4/15/2025
Active	CareSource Kentucky Co.	838179	Agent - Health	1/26/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	4/28/2020	2/10/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	9/13/2021	2/10/2025
Active	Golden Rule Insurance Company	301943	Agent - Health	3/25/2019
Active	Golden Rule Insurance Company	301943	Agent - Life	3/25/2019
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	4/30/2025

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	5/18/2020	2/10/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/18/2020	2/10/2025
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Life	12/29/2021
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/29/2021