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DEPARTMENT OF INSURANCE
Affiliations
Name
Johnson, Derek Edwin
DOIID
930844
NAIC NPN
17965833
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Property
9/28/2016
6/5/2018
Inactive
Non Resident
Agent
Casualty
9/28/2016
6/5/2018
* 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
Dairyland Insurance Company
301370
Agent - Casualty
1/27/2017
4/26/2017
Inactive
Dairyland Insurance Company
301370
Agent - Property
1/27/2017
4/26/2017
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Casualty
11/15/2016
5/12/2017
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Property
11/15/2016
5/12/2017
Inactive
National General Insurance Company
300152
Agent - Casualty
9/29/2016
4/25/2017
Inactive
National General Insurance Company
300152
Agent - Property
9/29/2016
4/25/2017
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Affinity Brokerage, LLC
544886
Agent - Property
10/3/2016
4/26/2017
Inactive
Affinity Brokerage, LLC
544886
Agent - Casualty
10/3/2016
4/26/2017
Inactive
CWI, LLC
662170
Agent - Property
10/3/2016
4/26/2017
Inactive
CWI, LLC
662170
Agent - Casualty
10/3/2016
4/26/2017
Inactive
Camping World Insurance Services of Kentucky, LLC
663187
Agent - Property
10/3/2016
4/26/2017
Inactive
Camping World Insurance Services of Kentucky, LLC
663187
Agent - Casualty
10/3/2016
4/26/2017
Inactive
National General Ins Marketing Inc
621228
Agent - Property
9/29/2016
4/26/2017
Inactive
National General Ins Marketing Inc
621228
Agent - Casualty
9/29/2016
4/26/2017
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