DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Puckett, Johanne	DOIID	784602	NAIC NPN	3378237

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/21/2012	11/30/2015
Inactive	Non Resident	Agent	Casualty	6/21/2012	11/30/2015
* 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	Bristol West Insurance Company	301655	Agent - Casualty	5/17/2013	12/30/2014
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/17/2013	12/30/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/17/2013	12/30/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/17/2013	12/30/2014
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	5/17/2013	12/30/2014
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	5/17/2013	12/30/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	5/17/2013	12/30/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	5/17/2013	12/30/2014
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	7/24/2012	1/19/2015
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	7/24/2012	1/19/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	7/24/2012	12/2/2014
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	7/24/2012	12/2/2014