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DEPARTMENT OF INSURANCE
Affiliations
Name
Johnson, Jerry M
DOIID
695129
NAIC NPN
12457533
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Health
2/16/2009
1/1/2018
Inactive
Resident
Agent
Life
2/16/2009
1/1/2018
Inactive
Resident
Agent
Variable Life and Variable Annuities
2/16/2009
1/1/2018
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Notice:
The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
4/29/2015
7/18/2016
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
4/29/2015
7/18/2016
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
4/29/2015
7/18/2016
Inactive
Brighthouse Life Insurance Company
301829
Agent - Health
11/14/2014
7/18/2016
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
11/14/2014
7/18/2016
Inactive
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
11/14/2014
7/18/2016
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
6/29/2009
12/23/2011
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
6/29/2009
12/23/2011
Inactive
Everlake Life Insurance Company
300873
Agent - Life
10/12/2009
9/29/2010
Inactive
Everlake Life Insurance Company
300873
Agent - Variable Life and Variable Annuities
10/12/2009
9/29/2010
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Health
10/13/2009
2/8/2012
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
10/13/2009
2/8/2012
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
10/13/2009
2/8/2012
Inactive
Integrity Life Insurance Company
301687
Agent - Life
6/22/2009
10/3/2012
Inactive
Integrity Life Insurance Company
301687
Agent - Variable Life and Variable Annuities
6/22/2009
10/3/2012
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
6/25/2009
7/19/2016
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
6/25/2009
7/19/2016
Inactive
MetLife Investors Insurance Company
301872
Agent - Health
9/13/2012
11/14/2014
Inactive
MetLife Investors Insurance Company
301872
Agent - Life
9/13/2012
11/14/2014
Inactive
MetLife Investors Insurance Company
301872
Agent - Variable Life and Variable Annuities
9/13/2012
11/14/2014
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
9/18/2012
7/18/2016
Inactive
Metropolitan Life Insurance Company
301948
Agent - Variable Life and Variable Annuities
9/18/2012
7/18/2016
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
1/12/2010
12/15/2011
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
9/17/2012
7/19/2016
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
9/17/2012
7/19/2016
Inactive
Pacific Life Insurance Company
301848
Agent - Health
8/30/2012
7/15/2016
Inactive
Pacific Life Insurance Company
301848
Agent - Life
8/30/2012
7/15/2016
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
8/30/2012
7/15/2016
Inactive
Principal National Life Insurance Company
301926
Agent - Life
2/11/2014
1/1/2018
Inactive
Pruco Life Insurance Company
300954
Agent - Health
2/22/2010
2/8/2012
Inactive
Pruco Life Insurance Company
300954
Agent - Life
2/22/2010
2/8/2012
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
2/22/2010
2/8/2012
Inactive
Security Benefit Life Insurance Company
300583
Agent - Life
11/14/2013
8/2/2016
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
7/9/2009
11/16/2011
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
7/9/2009
11/16/2011
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
7/9/2009
11/16/2011
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
7/9/2009
11/16/2011
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
7/9/2009
11/16/2011
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
7/9/2009
11/16/2011
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
1/12/2010
12/15/2011
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
1/12/2010
12/15/2011
Inactive
Western and Southern Life Insurance Company
301744
Agent - Health
6/22/2009
11/18/2011
Inactive
Western and Southern Life Insurance Company
301744
Agent - Life
6/22/2009
11/18/2011
Inactive
Western-Southern Life Assurance Company
301590
Agent - Health
2/5/2013
10/19/2015
Inactive
Western-Southern Life Assurance Company
301590
Agent - Life
2/5/2013
10/19/2015
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Variable Life and Variable Annuities
6/23/2009
6/17/2015
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Health
6/22/2009
6/17/2015
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Life
6/22/2009
6/17/2015
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