DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Michael David	DOIID	1228680	NAIC NPN	16380896

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/9/2022		6/30/2025
Active	Non Resident	Agent	Property	9/9/2022		6/30/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/15/2022		6/30/2025
* 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	04/15/2025	06/30/2025
Surplus Lines Broker	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	1/27/2025
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	1/27/2025
Active	American Zurich Insurance Company	300592	Agent - Casualty	1/27/2025
Active	American Zurich Insurance Company	300592	Agent - Property	1/27/2025
Active	Zurich American Insurance Company	301121	Agent - Casualty	1/27/2025
Active	Zurich American Insurance Company	301121	Agent - Property	1/27/2025
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	1/27/2025
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	1/27/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CRC Ins Services, LLC	502276	Agent - Casualty	1/27/2025
Active	CRC Ins Services, LLC	502276	Agent - Property	1/27/2025
Active	CRC Ins Services, LLC	502276	Surplus Lines Broker - Not Applicable	1/16/2025
Denied	Venture Underwriters LLC	1030949	Agent - Casualty
Denied	Venture Underwriters LLC	1030949	Agent - Property
Active	Venture Underwriters LLC	1030949	Surplus Lines Broker - Not Applicable	12/6/2022