DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Keith Laron	DOIID	1361271	NAIC NPN	21091933

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/16/2024		3/31/2027
Active	Non Resident	Agent	Life	9/16/2024		3/31/2027
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/12/2024	12/12/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/15/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	4/15/2025
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	9/23/2024
Active	SilverScript Insurance Company	663526	Agent - Health	4/15/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alight Health Market Insurance Solutions Inc	643602	Agent - Life	10/1/2024	11/15/2024
Inactive	Alight Health Market Insurance Solutions Inc	643602	Agent - Health	10/12/2024	11/15/2024