DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Lori	DOIID	720451	NAIC NPN	15391331

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/24/2015	3/31/2021
Inactive	Non Resident	Agent	Life	9/19/2013	3/31/2021
Inactive	Non Resident	Agent	Health	9/19/2013	3/31/2021
Inactive	Non Resident	Agent	Casualty	4/24/2015	3/31/2021
* 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	Berkley Insurance Company	301355	Agent - Casualty	10/11/2018	3/31/2021
Inactive	Continental American Insurance Company	301700	Agent - Health	10/31/2013	6/17/2016
Inactive	Continental American Insurance Company	301700	Agent - Life	10/31/2013	6/17/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/28/2013	12/18/2020
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/28/2013	12/18/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Health	1/15/2019	12/18/2020
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Life	1/15/2019	12/18/2020
Denied	Mercer Health & Benefits Administration Llc	656414	Agent - Property
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Casualty	1/15/2019	3/31/2021
Denied	Seabury & Smith Inc	394854	Agent - Health
Denied	Seabury & Smith Inc	394854	Agent - Life