DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Andre	DOIID	1040750	NAIC NPN	18491665

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/11/2022		6/30/2025
Active	Non Resident	Agent	Casualty	8/11/2022		6/30/2025
Active	Non Resident	Independent Adjuster	Property & Casualty	3/6/2023		6/30/2027
Inactive	Non Resident	Staff Adjuster	Property & Casualty	5/16/2019	6/30/2021
* 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	04/15/2025	06/30/2025
Independent Adjuster	04/15/2025	06/30/2025	04/22/2025	04/22/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/14/2022	6/15/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/14/2022	6/15/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AFICS, Inc	1122840	Independent Adjuster - Property & Casualty	10/29/2024
Inactive	Pennymac Insurance Services, LLC	1135565	Agent - Casualty	9/14/2022	4/21/2023
Inactive	Pennymac Insurance Services, LLC	1135565	Agent - Property	9/14/2022	4/21/2023