DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Derek S	DOIID	844948	NAIC NPN	13145605

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Independent Adjuster	Workers' Compensation	7/8/2014		12/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Sedgwick Claims Management Service Inc	401194	Independent Adjuster - Workers' Compensation	7/27/2016