DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Michelle	DOIID	883404	NAIC NPN	8422142

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	4/29/2022	10/31/2025
Active	Non Resident	Agent	Casualty	4/29/2022	10/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/6/2022	10/31/2025
* 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	08/15/2025	10/31/2025
Surplus Lines Broker	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AGCS Marine Insurance Company	300403	Agent - Casualty	5/19/2022
Active	AGCS Marine Insurance Company	300403	Agent - Property	5/19/2022
Inactive	All America Insurance Company	300078	Agent - Casualty	6/8/2018	1/13/2022
Inactive	All America Insurance Company	300078	Agent - Property	6/8/2018	1/13/2022
Active	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	7/25/2024
Active	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	7/25/2024
Inactive	Central Insurance Company	300965	Agent - Casualty	6/8/2018	1/13/2022
Inactive	Central Insurance Company	300965	Agent - Property	6/8/2018	1/13/2022
Denied	Cincinnati Casualty Company (The)	300308	Agent - Casualty
Denied	Cincinnati Casualty Company (The)	300308	Agent - Property
Denied	Cincinnati Indemnity Company (The)	301566	Agent - Casualty
Denied	Cincinnati Indemnity Company (The)	301566	Agent - Property
Denied	Cincinnati Insurance Company	301298	Agent - Casualty
Denied	Cincinnati Insurance Company	301298	Agent - Property
Active	Continental Casualty Company	301019	Agent - Casualty	7/27/2022
Active	Continental Casualty Company	301019	Agent - Property	7/27/2022
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	11/15/2021	1/13/2022
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	11/15/2021	1/13/2022
Inactive	Nutmeg Insurance Company	751698	Agent - Casualty	11/15/2021	1/13/2022
Inactive	Nutmeg Insurance Company	751698	Agent - Property	11/15/2021	1/13/2022
Active	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	6/4/2025
Active	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	6/4/2025
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	9/26/2019	1/13/2022
Inactive	Selective Insurance Company of America	500018	Agent - Property	9/26/2019	1/13/2022
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	9/26/2019	1/13/2022
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	9/26/2019	1/13/2022
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	9/26/2019	1/13/2022
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	9/26/2019	1/13/2022
Active	Valley Forge Insurance Company	301052	Agent - Casualty	7/27/2022
Active	Valley Forge Insurance Company	301052	Agent - Property	7/27/2022
Active	Wellfleet Insurance Company	300542	Agent - Casualty	8/22/2023
Active	Wellfleet Insurance Company	300542	Agent - Property	8/22/2023
Active	Wellfleet New York Insurance Company	300245	Agent - Casualty	8/22/2023
Active	Wellfleet New York Insurance Company	300245	Agent - Property	8/22/2023
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	2/8/2016	5/8/2018
Inactive	Zurich American Insurance Company	301121	Agent - Property	2/8/2016	5/8/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	5/24/2022
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	5/24/2022
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Surplus Lines Broker - Not Applicable	5/17/2022
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Casualty	2/12/2016	1/15/2018
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Property	2/12/2016	1/15/2018
Inactive	Willis Towers Watson Southeast Inc	399919	Surplus Lines Broker - Not Applicable	2/12/2016	1/13/2022