DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Douglas Wayne	DOIID	311252	NAIC NPN	384979

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	8/10/2020	7/31/2025
Active	Non Resident	Agent	Health	8/10/2020	7/31/2025
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	4/9/2001	12/28/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/9/2001	12/28/2006
Inactive	American National Insurance Company	301861	Agent - Health	12/28/1999	7/31/2007
Inactive	American National Insurance Company	301861	Agent - Life	12/28/1999	7/31/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/26/1998	7/31/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/26/1998	7/31/2007
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	4/2/2004	7/31/2007
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	4/2/2004	7/31/2007
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/10/2000	1/24/2007
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/10/2000	1/24/2007
Inactive	Everlake Life Insurance Company	300873	Agent - Life	7/6/1999	4/2/2003
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	4/2/2004	7/31/2007
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	4/2/2004	7/31/2007
Inactive	Indianapolis Life Insurance Company	301381	Agent - Health	6/6/1990	2/11/2003
Inactive	Indianapolis Life Insurance Company	301381	Agent - Life	6/6/1990	2/11/2003
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	6/1/2004	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	6/1/2004	7/2/2007
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/2/2007	7/31/2007
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/2/2007	7/31/2007
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	4/28/2004	7/31/2007
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	4/28/2004	7/31/2007
Inactive	PHL Variable Insurance Company	300525	Agent - Health	1/18/1995	3/31/1997
Inactive	PHL Variable Insurance Company	300525	Agent - Life	1/18/1995	3/31/1997
Inactive	Principal Life Insurance Company	300129	Agent - Health	10/10/2002	7/31/2007
Inactive	Principal Life Insurance Company	300129	Agent - Life	10/10/2002	7/31/2007
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	1/28/2002	8/8/2005
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	1/28/2002	8/8/2005
Inactive	Security Financial Life Insurance Company	300208	Agent - Health	1/2/2002	11/3/2004
Inactive	Security Financial Life Insurance Company	300208	Agent - Life	1/2/2002	11/3/2004
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	10/25/1991	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	10/25/1991	10/1/2003
Inactive	SunAmerica Life Insurance Company	300096	Agent - Health	11/4/1992	3/31/2003
Inactive	SunAmerica Life Insurance Company	300096	Agent - Life	11/4/1992	3/31/2003
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	5/4/1994	7/31/2007
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	5/4/1994	7/31/2007
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	5/4/1994	7/31/2007
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	5/4/1994	7/31/2007
Inactive	Union Security Insurance Company	301844	Agent - Health	5/4/1994	11/21/2003
Inactive	Union Security Insurance Company	301844	Agent - Life	5/4/1994	12/17/2001
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/15/2002	11/21/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/15/2002	11/21/2005
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/5/2002	11/21/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	3/3/1998	7/31/2007
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	3/3/1998	7/31/2007