DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Jolene M	DOIID	1171880	NAIC NPN	6903207

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/10/2021		3/31/2025
Active	Non Resident	Agent	Property	11/10/2021		3/31/2025
Active	Non Resident	Agent	Personal Lines	11/10/2021		3/31/2025
Active	Non Resident	Agent	Health	11/10/2021		3/31/2025
Active	Non Resident	Agent	Casualty	11/10/2021		3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	12/3/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	12/3/2021
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/3/2021
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/3/2021
Active	Zurich American Insurance Company	301121	Agent - Casualty	11/22/2021
Active	Zurich American Insurance Company	301121	Agent - Property	11/22/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Willis Towers Watson Southeast Inc	399919	Agent - Casualty	12/20/2021
Active	Willis Towers Watson Southeast Inc	399919	Agent - Life	12/20/2021
Active	Willis Towers Watson Southeast Inc	399919	Agent - Health	12/20/2021
Active	Willis Towers Watson Southeast Inc	399919	Agent - Property	12/20/2021