DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Debra H	DOIID	386360	NAIC NPN	3338426

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Property
Denied	Resident	Agent	Casualty
Inactive	Resident	Agent	Health	10/11/1999	4/29/2005
Inactive	Resident	Agent	Life	10/11/1999	4/29/2005
* 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	Colonial Life and Accident Insurance Company	300846	Agent - Health	10/11/1999	4/29/2005
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	10/11/1999	4/29/2005
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/10/2001	4/29/2005
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/10/2001	4/29/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthinsurancenet.com Inc.	400197	Agent - Life	10/13/2000	12/29/2003
Inactive	Healthinsurancenet.com Inc.	400197	Agent - Health	10/13/2000	12/29/2003