DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Michael	DOIID	1153994	NAIC NPN	11815065

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/25/2021	2/29/2024
Active	Non Resident	Independent Adjuster	Property & Casualty	4/5/2023		2/28/2026
* 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
Independent Adjuster	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/20/2021	6/2/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/20/2021	6/2/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/20/2021	6/2/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/25/2021	4/24/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	4/24/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	4/24/2023
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/10/2021	10/27/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/27/2022	11/21/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	2/29/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/20/2021	6/2/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/27/2022	11/21/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/27/2022	11/21/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/27/2022	11/21/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/28/2023	3/4/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Health	10/24/2022	2/29/2024