DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Cheryl Ann	DOIID	385077	NAIC NPN	7206808

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	8/15/2000		4/30/2027
Active	Resident	Agent	Life	11/17/1993		4/30/2027
Active	Resident	Agent	Health	11/17/1993		4/30/2027
Active	Resident	Agent	Property	8/15/2000		4/30/2027
Inactive	Resident	Agent	General Lines	11/2/1989	8/15/2000
Inactive	Resident	Agent	Health Maintenance Organization	5/6/1994	3/1/2001
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	11/18/2009	11/21/2011
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/18/2009	11/21/2011
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/18/2009	11/21/2011
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	1/22/2002	11/19/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/22/2002	11/19/2007
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	6/1/1994	12/16/1996
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	6/1/1994	12/16/1996
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	8/15/2000	11/14/2021
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	11/9/1995	8/15/2000
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/15/2000	11/14/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/25/2008	11/30/2013
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/25/2008	11/30/2013
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/15/2000	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	12/18/1997	8/15/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/15/2000	11/14/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	7/8/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	7/8/2020
Inactive	American National Insurance Company	301861	Agent - Health	5/6/1994	10/4/1999
Inactive	American National Insurance Company	301861	Agent - Life	5/6/1994	10/4/1999
Inactive	American Republic Insurance Company	300861	Agent - Health	10/25/1994	3/31/1997
Inactive	American Republic Insurance Company	300861	Agent - Life	10/25/1994	3/31/1997
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/8/2009	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/8/2009	12/10/2020
Active	Bristol West Insurance Company	301655	Agent - Casualty	3/13/2009
Active	Bristol West Insurance Company	301655	Agent - Property	3/13/2009
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/25/2008	12/8/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/25/2008	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/25/2008	7/2/2013
Active	Dairyland Insurance Company	301370	Agent - Casualty	11/1/2001
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	12/8/2015
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	11/11/2008	8/21/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	11/11/2008	8/21/2012
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/21/2004
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/21/2004
Inactive	Generali - U.S. Branch	301128	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Generali - U.S. Branch	301128	Agent - General Lines	7/15/1991	8/15/2000
Inactive	Generali - U.S. Branch	301128	Agent - Property	8/15/2000	3/31/2002
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/6/2009	12/13/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/6/2009	12/13/2012
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/4/2013	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	4/16/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	5/6/1994	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	6/20/1996	4/16/2016
Inactive	Humana Insurance Company	301104	Agent - Life	6/20/1996	4/16/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/29/2004	4/16/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/29/2004	4/16/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/12/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/12/2012	12/19/2012
Inactive	Integon National Insurance Company	301600	Agent - Casualty	8/15/2000	5/23/2003
Inactive	Integon National Insurance Company	301600	Agent - General Lines	2/17/1994	8/15/2000
Inactive	Integon National Insurance Company	301600	Agent - Property	8/15/2000	5/23/2003
Inactive	John Alden Life Insurance Company	300573	Agent - Health	6/19/2001	11/14/2006
Inactive	John Alden Life Insurance Company	300573	Agent - Life	6/19/2001	11/14/2006
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/27/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/27/2013	10/22/2015
Inactive	Lincoln General Insurance Company	301580	Agent - Casualty	4/8/2004	4/17/2006
Inactive	Lincoln General Insurance Company	301580	Agent - Property	4/8/2004	4/17/2006
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	8/15/2000	6/21/2001
Inactive	Metropolitan General Insurance Company	300709	Agent - General Lines	4/7/1998	8/15/2000
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	8/15/2000	6/21/2001
Inactive	Ohio State Life Insurance Company (The)	300865	Agent - Health	11/17/1993	5/5/1997
Inactive	Ohio State Life Insurance Company (The)	300865	Agent - Life	11/17/1993	5/5/1997
Inactive	Omni Indemnity Company	301456	Agent - Casualty	8/15/2000	10/8/2009
Inactive	Omni Indemnity Company	301456	Agent - General Lines	5/22/2000	8/15/2000
Inactive	Omni Indemnity Company	301456	Agent - Property	8/15/2000	10/8/2009
Inactive	Omni Insurance Company	301545	Agent - General Lines	11/2/1989	3/31/2000
Inactive	PAFCO General Insurance Company	301645	Agent - Casualty	8/15/2000	3/31/2004
Inactive	PAFCO General Insurance Company	301645	Agent - General Lines	5/4/1994	8/15/2000
Inactive	PAFCO General Insurance Company	301645	Agent - Property	8/15/2000	3/31/2004
Inactive	Permanent General Assurance Corporation	300883	Agent - General Lines	7/20/1995	11/26/1997
Inactive	Root Property & Casualty Insurance Company	301016	Agent - General Lines	6/15/1994	3/31/1996
Inactive	South Carolina Insurance Company	300080	Agent - General Lines	6/25/1998	8/15/2000
Inactive	Starr Indemnity and Liability Company	301685	Agent - General Lines	6/15/1994	3/31/1996
Inactive	Time Insurance Company	300683	Agent - Health	2/24/1994	2/9/2001
Inactive	Time Insurance Company	300683	Agent - Life	2/24/1994	2/9/2001
Active	Trexis Insurance Corporation	599902	Agent - Casualty	1/10/2005
Active	Trexis One Insurance Corporation	684197	Agent - Casualty	11/11/2008
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	11/11/2008	8/21/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	11/11/2008	8/21/2012
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	8/15/2000	9/29/2020
Inactive	Trumbull Insurance Company	300242	Agent - General Lines	7/3/1998	8/15/2000
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/15/2000	9/29/2020
Inactive	XL Insurance America, Inc.	300182	Agent - General Lines	6/15/1994	3/31/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	C.F.W. Inc.	399808	Agent - General Lines	6/1/1992	8/15/2000
Inactive	C.F.W. Inc.	399808	Agent - Property	8/15/2000	5/31/2004
Inactive	C.F.W. Inc.	399808	Agent - Casualty	8/15/2000	5/31/2004
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/8/2009	12/10/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	1/8/2009	12/10/2020
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997