DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, George Russell	DOIID	364384	NAIC NPN	5955145

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	7/15/1999	7/1/2002
Inactive	Resident	Agent	Life	12/5/1997	7/1/2002
Inactive	Resident	Temporary Agent	Ordinary Life (Temporary Life)	5/7/1999	7/15/1999
Inactive	Resident	Temporary Agent	Debit (Temporary Health)	5/7/1999	7/15/1999
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/24/2000	8/2/2000
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/24/2000	8/2/2000
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	7/15/1999	1/21/2000
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	7/15/1999	1/21/2000
Inactive	American General Life and Accident Insurance Company	301362	Temporary Agent - Debit (Temporary Health)	5/7/1999	7/15/1999
Inactive	American General Life and Accident Insurance Company	301362	Temporary Agent - Ordinary Life (Temporary Life)	5/7/1999	7/15/1999
Inactive	American States Life Insurance Company	301884	Agent - Health	3/20/2000	12/27/2000
Inactive	American States Life Insurance Company	301884	Agent - Life	3/20/2000	12/27/2000
Inactive	Athene Annuity and Life Company	301893	Agent - Health	3/27/2000	12/18/2000
Inactive	Athene Annuity and Life Company	301893	Agent - Life	3/27/2000	12/18/2000
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	4/7/2000	3/2/2001
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	4/7/2000	3/2/2001
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	10/9/2000	1/12/2001
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	10/9/2000	1/12/2001
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	1/19/2000	10/25/2000
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	1/19/2000	10/25/2000
Inactive	First Colony Life Insurance Company	301179	Agent - Life	4/13/2000	11/8/2000
Inactive	Genworth Life Insurance Company	300623	Agent - Health	3/8/2000	6/12/2000
Inactive	Grange Life Insurance Company	300128	Agent - Health	2/21/2000	6/19/2002
Inactive	Grange Life Insurance Company	300128	Agent - Life	2/21/2000	6/19/2002
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	4/24/2000	11/7/2000
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	4/24/2000	11/7/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	3/28/2000	3/1/2003
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	3/28/2000	3/1/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/28/2000	3/1/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/28/2000	3/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	3/27/2000	7/1/2002
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	3/27/2000	7/1/2002
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	4/10/2000	11/27/2000
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	4/10/2000	11/27/2000
Inactive	Symetra Life Insurance Company	301691	Agent - Health	3/20/2000	12/27/2000
Inactive	Symetra Life Insurance Company	301691	Agent - Life	3/20/2000	12/27/2000
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/27/2000	1/3/2001
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/27/2000	1/3/2001
Inactive	Western National Life Insurance Company	300461	Agent - Life	10/4/1999	2/7/2000
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	12/5/1997	4/13/1998
Inactive		300277	Agent - Life	4/11/2000	1/11/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Holton, Melugin, & Haverstock Insurance Agency, Inc	399756	Agent - Life	2/10/2000	7/1/2002
Inactive	Holton, Melugin, & Haverstock Insurance Agency, Inc	399756	Agent - Health	2/10/2000	7/1/2002
Inactive	McConnell Insurance Agency Inc.	400140	Agent - Life	2/14/2000	4/5/2001
Inactive	McConnell Insurance Agency Inc.	400140	Agent - Health	2/14/2000	4/5/2001