DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Jacqueline Marie	DOIID	656062	NAIC NPN	1175650

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	5/23/2007	2/28/2010
Inactive	Non Resident	Agent	Casualty	5/23/2007	2/28/2010
* 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	American Family Home Insurance Company	301817	Agent - Casualty	8/1/2007	2/25/2008
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/1/2007	2/25/2008
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/1/2007	2/25/2008
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/1/2007	2/25/2008
Inactive	Tesla Insurance Company	300337	Agent - Casualty	6/11/2007	10/8/2007
Inactive	Tesla Insurance Company	300337	Agent - Property	6/11/2007	10/8/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Balboa Insurance Services Inc.	516610	Agent - Property	7/3/2007	2/25/2008
Inactive	Balboa Insurance Services Inc.	516610	Agent - Casualty	7/3/2007	2/25/2008
Inactive	Directnet Insurance Agency, Inc.	523020	Agent - Property	7/3/2007	2/25/2008
Inactive	Directnet Insurance Agency, Inc.	523020	Agent - Casualty	7/3/2007	2/25/2008