DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Lance W	DOIID	1225975	NAIC NPN	18389070

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/29/2023		10/31/2024
Active	Non Resident	Agent	Property	8/31/2022		10/31/2024
Active	Non Resident	Agent	Casualty	8/31/2022		10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/13/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/13/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	7/13/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/11/2023	8/9/2023
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	12/29/2022	3/22/2023
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Property	12/29/2022	3/22/2023
Inactive	Permanent General Assurance Corporation of Ohio	709250	Agent - Casualty	9/7/2022	10/6/2022
Active	SilverScript Insurance Company	663526	Agent - Health	7/13/2023
Inactive	USAA Casualty Insurance Company	300995	Agent - Casualty	12/29/2022	3/22/2023
Inactive	USAA Casualty Insurance Company	300995	Agent - Property	12/29/2022	3/22/2023
Inactive	USAA General Indemnity Company	300131	Agent - Casualty	12/29/2022	3/22/2023
Inactive	USAA General Indemnity Company	300131	Agent - Property	12/29/2022	3/22/2023
Inactive	United Services Automobile Association	300158	Agent - Casualty	12/29/2022	3/22/2023
Inactive	United Services Automobile Association	300158	Agent - Property	12/29/2022	3/22/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/11/2023	8/9/2023
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/11/2023	8/9/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	General Automobile Ins Services Inc	706632	Agent - Casualty	9/8/2022	10/6/2022
Inactive	General Automobile Ins Services Inc	706632	Agent - Property	12/29/2022	3/22/2023
Inactive	General Automobile Ins Services Of Ohio Inc The	719262	Agent - Casualty	9/8/2022	10/6/2022
Inactive	Ttec Financial Services Management LLC	881063	Agent - Casualty	1/26/2023	3/22/2023
Inactive	Ttec Financial Services Management LLC	881063	Agent - Property	1/26/2023	3/22/2023