DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Douglas Wayne	DOIID	1267828	NAIC NPN	6527254

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/10/2023		12/31/2024
Active	Non Resident	Agent	Casualty	4/10/2023		12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wellfleet Insurance Company	300542	Agent - Casualty	5/25/2023	7/21/2023
Inactive	Wellfleet Insurance Company	300542	Agent - Property	5/25/2023	7/21/2023
Inactive	Wellfleet New York Insurance Company	300245	Agent - Casualty	5/25/2023	7/21/2023
Inactive	Wellfleet New York Insurance Company	300245	Agent - Property	5/25/2023	7/21/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	biBERK Insurance Services, Inc.	909097	Agent - Casualty	5/25/2023	7/21/2023
Inactive	biBERK Insurance Services, Inc.	909097	Agent - Property	5/25/2023	7/21/2023