DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Michael	DOIID	1170896	NAIC NPN	17649197

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Life	11/5/2021		9/30/2024
Pending Replacement	Non Resident	Agent	Health	11/5/2021		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lumico Life Insurance Company	300354	Agent - Life	11/7/2023	4/17/2024
Pending Replacement	State Life Insurance Company	301497	Agent - Health	11/2/2022
Pending Replacement	State Life Insurance Company	301497	Agent - Life	11/2/2022
Pending Replacement	United of Omaha Life Insurance Company	300156	Agent - Health	11/15/2023
Pending Replacement	United of Omaha Life Insurance Company	300156	Agent - Life	11/15/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Crump Life Insurance Services LLC	505491	Agent - Life
Denied	Crump Life Insurance Services LLC	505491	Agent - Health