DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Jeffrey Loel	DOIID	629902	NAIC NPN	3476928

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/11/2006	2/9/2009
Inactive	Non Resident	Agent	Life	4/11/2006	2/9/2009
* 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	Life Insurance Company of North America	300711	Agent - Health	6/14/2006	2/9/2009
Inactive	Life Insurance Company of North America	300711	Agent - Life	6/14/2006	2/9/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Segal Company (Southeast), Inc (The)	637952	Agent - Health	8/29/2006	2/9/2009
Inactive	Segal Company (Southeast), Inc (The)	637952	Agent - Life	8/29/2006	2/9/2009