DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Michael Lawrence	DOIID	772711	NAIC NPN	8906653

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/13/2012		5/31/2026
Active	Non Resident	Agent	Casualty	1/13/2012		5/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/24/2017		5/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2024	05/31/2024	03/20/2024	03/20/2024	Yes
Surplus Lines Broker	03/15/2024	05/31/2024	03/20/2024	03/20/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Casualty	2/2/2012	10/12/2012
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Property	2/2/2012	10/12/2012
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Casualty	2/2/2012	10/4/2012
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Property	2/2/2012	10/4/2012
Inactive	Lamorak Insurance Company	301231	Agent - Casualty	2/2/2012	2/7/2013
Inactive	Lamorak Insurance Company	301231	Agent - Property	2/2/2012	2/7/2013
Inactive	Northern Assurance Company of America The	301331	Agent - Casualty	2/2/2012	2/7/2013
Inactive	Northern Assurance Company of America The	301331	Agent - Property	2/2/2012	2/7/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	RSG Specialty, LLC	726176	Agent - Property
Denied	RSG Specialty, LLC	726176	Agent - Casualty
Active	RSG Specialty, LLC	726176	Surplus Lines Broker - Not Applicable	5/23/2022
Active	Trident Marine Managers Inc	616327	Agent - Property	2/2/2012
Active	Trident Marine Managers Inc	616327	Agent - Casualty	2/2/2012
Active	Trident Marine Managers Inc	616327	Surplus Lines Broker - Not Applicable	8/14/2017