DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Michael David	DOIID	1228680	NAIC NPN	16380896

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/9/2022		6/30/2027
Active	Non Resident	Agent	Property	9/9/2022		6/30/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/15/2022		6/30/2027
* 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	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	1/27/2025
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	1/27/2025
Active	American Zurich Insurance Company	300592	Agent - Casualty	1/27/2025
Active	American Zurich Insurance Company	300592	Agent - Property	1/27/2025
Active	Zurich American Insurance Company	301121	Agent - Casualty	1/27/2025
Active	Zurich American Insurance Company	301121	Agent - Property	1/27/2025
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	1/27/2025
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	1/27/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CRC Ins Services, LLC	502276	Agent - Casualty	1/27/2025
Active	CRC Ins Services, LLC	502276	Agent - Property	1/27/2025
Active	CRC Ins Services, LLC	502276	Surplus Lines Broker - Not Applicable	1/16/2025
Denied	Venture Underwriters LLC	1030949	Agent - Casualty
Denied	Venture Underwriters LLC	1030949	Agent - Property
Active	Venture Underwriters LLC	1030949	Surplus Lines Broker - Not Applicable	12/6/2022