DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Cheryl Ann	DOIID	385077	NAIC NPN	7206808

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	8/15/2000		4/30/2025
Active	Resident	Agent	Property	8/15/2000		4/30/2025
Active	Resident	Agent	Life	11/17/1993		4/30/2025
Active	Resident	Agent	Health	11/17/1993		4/30/2025
Inactive	Resident	Agent	Health Maintenance Organization	5/6/1994	3/1/2001
Inactive	Resident	Agent	General Lines	11/2/1989	8/15/2000
* 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	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	11/18/2009	11/21/2011
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/18/2009	11/21/2011
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/18/2009	11/21/2011
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	1/22/2002	11/19/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/22/2002	11/19/2007
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	6/1/1994	12/16/1996
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	6/1/1994	12/16/1996
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	8/15/2000	11/14/2021
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	11/9/1995	8/15/2000
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/15/2000	11/14/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/25/2008	11/30/2013
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/25/2008	11/30/2013
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/15/2000	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	12/18/1997	8/15/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/15/2000	11/14/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	7/8/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	7/8/2020
Inactive	American National Insurance Company	301861	Agent - Health	5/6/1994	10/4/1999
Inactive	American National Insurance Company	301861	Agent - Life	5/6/1994	10/4/1999
Inactive	American Republic Insurance Company	300861	Agent - Health	10/25/1994	3/31/1997
Inactive	American Republic Insurance Company	300861	Agent - Life	10/25/1994	3/31/1997
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/8/2009	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/8/2009	12/10/2020
Active	Bristol West Insurance Company	301655	Agent - Casualty	3/13/2009
Active	Bristol West Insurance Company	301655	Agent - Property	3/13/2009
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/25/2008	12/8/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/25/2008	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/25/2008	7/2/2013
Active	Dairyland Insurance Company	301370	Agent - Casualty	11/1/2001
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	12/8/2015
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	11/11/2008	8/21/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	11/11/2008	8/21/2012
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/21/2004
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/21/2004
Inactive	Generali - U.S. Branch	301128	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Generali - U.S. Branch	301128	Agent - General Lines	7/15/1991	8/15/2000
Inactive	Generali - U.S. Branch	301128	Agent - Property	8/15/2000	3/31/2002
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/6/2009	12/13/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/6/2009	12/13/2012
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/4/2013	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	4/16/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	5/6/1994	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	6/20/1996	4/16/2016
Inactive	Humana Insurance Company	301104	Agent - Life	6/20/1996	4/16/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/29/2004	4/16/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/29/2004	4/16/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/12/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/12/2012	12/19/2012
Inactive	Integon National Insurance Company	301600	Agent - Casualty	8/15/2000	5/23/2003
Inactive	Integon National Insurance Company	301600	Agent - General Lines	2/17/1994	8/15/2000
Inactive	Integon National Insurance Company	301600	Agent - Property	8/15/2000	5/23/2003
Inactive	John Alden Life Insurance Company	300573	Agent - Health	6/19/2001	11/14/2006
Inactive	John Alden Life Insurance Company	300573	Agent - Life	6/19/2001	11/14/2006
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/27/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/27/2013	10/22/2015
Inactive	Lincoln General Insurance Company	301580	Agent - Casualty	4/8/2004	4/17/2006
Inactive	Lincoln General Insurance Company	301580	Agent - Property	4/8/2004	4/17/2006
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	8/15/2000	6/21/2001
Inactive	Metropolitan General Insurance Company	300709	Agent - General Lines	4/7/1998	8/15/2000
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	8/15/2000	6/21/2001
Inactive	Ohio State Life Insurance Company (The)	300865	Agent - Health	11/17/1993	5/5/1997
Inactive	Ohio State Life Insurance Company (The)	300865	Agent - Life	11/17/1993	5/5/1997
Inactive	Omni Indemnity Company	301456	Agent - Casualty	8/15/2000	10/8/2009
Inactive	Omni Indemnity Company	301456	Agent - General Lines	5/22/2000	8/15/2000
Inactive	Omni Indemnity Company	301456	Agent - Property	8/15/2000	10/8/2009
Inactive	Omni Insurance Company	301545	Agent - General Lines	11/2/1989	3/31/2000
Inactive	PAFCO General Insurance Company	301645	Agent - Casualty	8/15/2000	3/31/2004
Inactive	PAFCO General Insurance Company	301645	Agent - General Lines	5/4/1994	8/15/2000
Inactive	PAFCO General Insurance Company	301645	Agent - Property	8/15/2000	3/31/2004
Inactive	Permanent General Assurance Corporation	300883	Agent - General Lines	7/20/1995	11/26/1997
Inactive	Root Property & Casualty Insurance Company	301016	Agent - General Lines	6/15/1994	3/31/1996
Inactive	South Carolina Insurance Company	300080	Agent - General Lines	6/25/1998	8/15/2000
Inactive	Starr Indemnity and Liability Company	301685	Agent - General Lines	6/15/1994	3/31/1996
Inactive	Time Insurance Company	300683	Agent - Health	2/24/1994	2/9/2001
Inactive	Time Insurance Company	300683	Agent - Life	2/24/1994	2/9/2001
Active	Trexis Insurance Corporation	599902	Agent - Casualty	1/10/2005
Active	Trexis One Insurance Corporation	684197	Agent - Casualty	11/11/2008
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	11/11/2008	8/21/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	11/11/2008	8/21/2012
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	8/15/2000	9/29/2020
Inactive	Trumbull Insurance Company	300242	Agent - General Lines	7/3/1998	8/15/2000
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/15/2000	9/29/2020
Inactive	XL Insurance America, Inc.	300182	Agent - General Lines	6/15/1994	3/31/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	C.F.W. Inc.	399808	Agent - General Lines	6/1/1992	8/15/2000
Inactive	C.F.W. Inc.	399808	Agent - Property	8/15/2000	5/31/2004
Inactive	C.F.W. Inc.	399808	Agent - Casualty	8/15/2000	5/31/2004
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/8/2009	12/10/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	1/8/2009	12/10/2020
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997