DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Michelle J	DOIID	327512	NAIC NPN	1773125

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	10/11/2001	6/25/2004
Pending Replacement	Non Resident	Agent	Property	12/12/2022		3/31/2025
Pending Replacement	Non Resident	Agent	Casualty	12/12/2022		3/31/2025
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	12/1/1999	12/1/2000
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	3/14/2013	6/24/2016
Inactive	American Family Home Insurance Company	301817	Agent - Property	3/14/2013	6/24/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	3/14/2013	6/24/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Property	3/14/2013	6/24/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	3/14/2013	6/24/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Property	3/14/2013	6/24/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	3/14/2013	6/24/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Property	3/14/2013	6/24/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Atlas Ins Agcy Inc	523813	Agent - Property	3/18/2013	6/24/2016
Inactive	Atlas Ins Agcy Inc	523813	Agent - Casualty	3/18/2013	6/24/2016
Inactive	Ohio Casualty Insurance Company	301492	Adjuster - Independent	10/11/2001	6/25/2004

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bloch, Armand S	347966	Apprentice Adjuster - Not Applicable	12/1/1999	12/1/2000