DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Mary Jean Huizenga	DOIID	384299	NAIC NPN	227771

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	General Lines	6/26/1991	8/15/2000
Inactive	Non Resident	Agent	Property	8/15/2000	9/30/2016
Inactive	Non Resident	Agent	Casualty	8/15/2000	9/30/2016
Inactive	Non Resident	Agent	Life	10/4/2002	9/30/2016
Inactive	Non Resident	Agent	Health	10/4/2002	9/30/2016
* 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	Fortitude U.S. Reinsurance Company	301469	Agent - Health	10/4/2002	10/9/2014
Inactive	Fortitude U.S. Reinsurance Company	301469	Agent - Life	10/4/2002	10/9/2014
Inactive	Pharmacists Mutual Insurance Company	301292	Agent - Casualty	8/15/2000	10/9/2014
Inactive	Pharmacists Mutual Insurance Company	301292	Agent - General Lines	6/26/1991	8/15/2000
Inactive	Pharmacists Mutual Insurance Company	301292	Agent - Property	8/15/2000	10/9/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PMC Advantage Insurance Services, Inc	399370	Agent - Property	7/23/2008	10/9/2014
Inactive	PMC Advantage Insurance Services, Inc	399370	Agent - Casualty	7/23/2008	10/9/2014
Inactive	PMC Advantage Insurance Services, Inc	399370	Agent - Health	7/23/2008	10/9/2014
Inactive	PMC Advantage Insurance Services, Inc	399370	Agent - Life	7/23/2008	10/9/2014