DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Nancy Anne	DOIID	378314	NAIC NPN	2263242

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	10/28/1999	4/30/2010
Inactive	Non Resident	Agent	Health	10/28/1999	4/30/2010
* 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	Assurity Life Insurance Company	301099	Agent - Health	5/29/2001	2/26/2003
Inactive	Assurity Life Insurance Company	301099	Agent - Life	5/29/2001	2/26/2003
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	2/7/2008	4/30/2010
Inactive	Chase Insurance Life Company	301287	Agent - Health	10/28/1999	7/14/2006
Inactive	Chase Insurance Life Company	301287	Agent - Life	10/28/1999	7/14/2006
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	2/9/2005	7/14/2006
Inactive	Everlake Life Insurance Company	300873	Agent - Life	9/30/2004	6/2/2009
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	1/8/2001	7/17/2009
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	1/8/2001	7/17/2009
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Life	9/30/2004	1/1/2005
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	7/15/2004	7/3/2006
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	7/15/2004	7/3/2006
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/24/2000	11/10/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/24/2000	11/10/2004
Inactive	Pruco Life Insurance Company	300954	Agent - Health	11/6/2007	10/27/2009
Inactive	Pruco Life Insurance Company	300954	Agent - Life	11/6/2007	10/27/2009
Inactive	Revol One Insurance Company	300681	Agent - Health	3/5/2008	12/9/2009
Inactive	Revol One Insurance Company	300681	Agent - Life	3/5/2008	12/9/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	9/17/2001	11/10/2004
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	9/17/2001	11/10/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	America Direct Ins Agency Inc	619155	Agent - Life	1/23/2007	7/8/2009
Inactive	America Direct Ins Agency Inc	619155	Agent - Health	1/23/2007	7/8/2009