DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Mandy M	DOIID	1307359	NAIC NPN	17742703

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/26/2023	5/31/2027
Active	Non Resident	Agent	Property	10/26/2023	5/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	10/26/2023	5/31/2027
* 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	03/15/2025	05/31/2025	05/02/2025	05/02/2025	Yes
Surplus Lines Broker	03/15/2025	05/31/2025	05/02/2025	05/02/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	AIG Assurance Company	300897	Agent - Casualty	11/14/2023
Active	AIG Assurance Company	300897	Agent - Property	11/14/2023
Active	AIG Property Casualty Company	300621	Agent - Casualty	11/14/2023
Active	AIG Property Casualty Company	300621	Agent - Property	11/14/2023
Active	AIU Insurance Company	300729	Agent - Casualty	11/14/2023
Active	AIU Insurance Company	300729	Agent - Property	11/14/2023
Active	American Home Assurance Company	300246	Agent - Casualty	11/14/2023
Active	American Home Assurance Company	300246	Agent - Property	11/14/2023
Active	Commerce and Industry Insurance Company	300881	Agent - Casualty	11/14/2023
Active	Commerce and Industry Insurance Company	300881	Agent - Property	11/14/2023
Active	Granite State Insurance Company	300818	Agent - Casualty	11/14/2023
Active	Granite State Insurance Company	300818	Agent - Property	11/14/2023
Active	Illinois National Insurance Company	301367	Agent - Casualty	11/14/2023
Active	Illinois National Insurance Company	301367	Agent - Property	11/14/2023
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	11/14/2023
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	11/14/2023
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	11/14/2023
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	11/14/2023
Active	New Hampshire Insurance Company	301670	Agent - Casualty	11/14/2023
Active	New Hampshire Insurance Company	301670	Agent - Property	11/14/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Lexington Specialty Insurance Agency, Inc.	1101913	Agent - Casualty	1/25/2024
Active	Lexington Specialty Insurance Agency, Inc.	1101913	Agent - Property	1/25/2024
Active	Lexington Specialty Insurance Agency, Inc.	1101913	Surplus Lines Broker - Not Applicable	1/25/2024