DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Belinda Jeanne	DOIID	937385	NAIC NPN	15696795

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/17/2016		12/31/2024
Active	Non Resident	Agent	Casualty	11/17/2016		12/31/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	2/23/2021		12/31/2024
* 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	10/15/2024	12/31/2024
Surplus Lines Broker	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	11/30/2016
Active	ACE American Insurance Company	300625	Agent - Property	11/30/2016
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	11/30/2016
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	11/30/2016
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	11/30/2016
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	11/30/2016
Active	Federal Insurance Company	301144	Agent - Casualty	11/30/2016
Active	Federal Insurance Company	301144	Agent - Property	11/30/2016
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	1/1/2020
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	1/1/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Willis Towers Watson Southeast Inc	399919	Agent - Property	12/2/2016
Active	Willis Towers Watson Southeast Inc	399919	Agent - Casualty	12/2/2016
Active	Willis Towers Watson Southeast Inc	399919	Surplus Lines Broker - Not Applicable	3/3/2021