DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, William	DOIID	986640	NAIC NPN	17614448

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/7/2018		4/30/2026
Active	Non Resident	Agent	Health	3/7/2018		4/30/2026
* 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
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	10/11/2018
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	10/11/2018
Active	UNUM Life Insurance Company of America	300817	Agent - Health	10/11/2018
Active	UNUM Life Insurance Company of America	300817	Agent - Life	10/11/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aon Consulting Inc NJ	399932	Agent - Life	4/22/2020
Active	Aon Consulting Inc NJ	399932	Agent - Health	4/22/2020