DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Benjamin P	DOIID	718314	NAIC NPN	15303419

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	8/11/2011	6/1/2013
Inactive	Resident	Agent	Casualty	8/11/2011	6/1/2013
* 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	Dairyland Insurance Company	301370	Agent - Casualty	8/19/2011	7/14/2013
Inactive	Dairyland Insurance Company	301370	Agent - Property	8/19/2011	7/14/2013
Inactive	Sagamore Insurance Company	300942	Agent - Casualty	9/23/2011	6/1/2013
Inactive	Sagamore Insurance Company	300942	Agent - Property	9/23/2011	6/1/2013
Inactive	Westfield Insurance Company	301950	Agent - Casualty	10/3/2011	6/1/2013
Inactive	Westfield Insurance Company	301950	Agent - Property	10/3/2011	6/1/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners Nl, Llc	762387	Agent - Casualty	9/22/2011	7/8/2013
Inactive	Assuredpartners Nl, Llc	762387	Agent - Property	9/22/2011	7/8/2013
Inactive	Maverick Insurance, LLC	553924	Agent - Casualty	9/22/2011	6/1/2013
Inactive	Maverick Insurance, LLC	553924	Agent - Property	9/22/2011	6/1/2013