DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Jeffrey T	DOIID	665173	NAIC NPN	7812742

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/2/2007	6/30/2013
Inactive	Non Resident	Agent	Property	10/2/2007	6/30/2013
* 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	Harleysville Mutual Insurance Company	301393	Agent - Casualty	10/20/2008	5/1/2012
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Property	10/20/2008	5/1/2012
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/1/2012	9/14/2012
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	5/1/2012	9/14/2012
Inactive	Rural Community Insurance Company	301891	Agent - Casualty	10/1/2009	10/26/2011
Inactive	Rural Community Insurance Company	301891	Agent - Property	10/1/2009	10/26/2011
Inactive	TravCo Insurance Company	301828	Agent - Casualty	1/10/2008	6/6/2013
Inactive	TravCo Insurance Company	301828	Agent - Property	1/10/2008	6/6/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	1/13/2010	9/6/2012
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	1/13/2010	9/6/2012
Inactive	Wells Fargo Insurance Services of Indiana, LLC	524976	Agent - Property	1/10/2008	3/12/2010
Inactive	Wells Fargo Insurance Services of Indiana, LLC	524976	Agent - Casualty	1/10/2008	3/12/2010