DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnston, Mitzi Dyan	DOIID	1175851	NAIC NPN	18853072

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/7/2021		1/31/2026
Active	Non Resident	Agent	Property	12/7/2021		1/31/2026
Active	Non Resident	Agent	Personal Lines	12/7/2021		1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Strategic Insurance Corp	883540	Agent - Casualty	5/3/2022	8/9/2024
Inactive	American Strategic Insurance Corp	883540	Agent - Property	5/3/2022	8/9/2024
Active	Branch Insurance Exchange	1143306	Agent - Casualty	3/23/2022
Active	Branch Insurance Exchange	1143306	Agent - Personal Lines	3/23/2022
Active	Branch Insurance Exchange	1143306	Agent - Property	3/23/2022
Inactive	Permanent General Assurance Corporation of Ohio	709250	Agent - Casualty	1/27/2022	6/30/2023
Inactive	Permanent General Assurance Corporation of Ohio	709250	Agent - Personal Lines	1/27/2022	6/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Branch Financial Inc	1120010	Agent - Casualty	6/14/2022
Active	Branch Financial Inc	1120010	Agent - Property	6/14/2022