DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Stacey Terry	DOIID	889846	NAIC NPN	17658863

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	6/7/2023		5/31/2025
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	6/13/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	6/19/2017	5/31/2021
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/13/2023
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	6/13/2023
Inactive	American General Life Insurance Company	301585	Agent - Health	5/3/2021	5/31/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/7/2023	6/5/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	6/7/2023	6/5/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/7/2023	6/5/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/13/2017	5/31/2021
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	6/7/2023	11/27/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/7/2023	6/5/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/19/2017	5/31/2021
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	6/9/2017	5/31/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/29/2019	12/19/2019
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/14/2016	5/31/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/9/2018	5/31/2021
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/12/2018	12/15/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/9/2019	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Health	6/7/2017	5/31/2021
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/30/2016	2/2/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/22/2018	12/19/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	6/7/2017	5/9/2019
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	5/29/2018	12/21/2018
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	9/4/2015	12/16/2015
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	6/13/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/7/2023	11/27/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	3/8/2020	4/26/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/8/2020	4/26/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/4/2015	12/16/2015
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/7/2023	11/27/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	6/10/2023	7/4/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/12/2017	5/31/2021

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	6/5/2017	5/31/2021
Inactive	Gohealth LLC	691445	Agent - Health	11/29/2018	5/31/2021