DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Michael	DOIID	645105	NAIC NPN	3293731

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/28/2006	4/7/2017
Inactive	Non Resident	Agent	Health	12/28/2006	4/7/2017
Denied	Non Resident	Life & Health Consultant	Not Applicable
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	3/26/2010	4/7/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/26/2010	4/7/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/26/2010	4/7/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/27/2012	11/30/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/27/2012	11/30/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gallagher Benefit Services Inc	525782	Agent - Life	11/8/2010	4/7/2017
Inactive	Gallagher Benefit Services Inc	525782	Agent - Health	11/8/2010	4/7/2017