DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Lee Ann	DOIID	1033953	NAIC NPN	255282

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/25/2019	12/31/2020
Inactive	Non Resident	Agent	Property	3/25/2019	12/31/2020
Inactive	Non Resident	Agent	Casualty	3/25/2019	12/31/2020
Inactive	Non Resident	Agent	Life	3/25/2019	12/31/2020
* 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	Bristol West Insurance Company	301655	Agent - Casualty	9/11/2020	12/31/2020
Inactive	Bristol West Insurance Company	301655	Agent - Property	9/11/2020	12/31/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/11/2020	12/31/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/11/2020	12/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	AAA Club Alliance Inc	1026383	Agent - Life
Denied	AAA Club Alliance Inc	1026383	Agent - Casualty
Denied	AAA Club Alliance Inc	1026383	Agent - Health
Denied	AAA Club Alliance Inc	1026383	Agent - Property
Denied	Aca Club Insurance Agency, Inc.	1033550	Agent - Life
Denied	Aca Club Insurance Agency, Inc.	1033550	Agent - Casualty
Denied	Aca Club Insurance Agency, Inc.	1033550	Agent - Health
Denied	Aca Club Insurance Agency, Inc.	1033550	Agent - Property