DEPARTMENT OF INSURANCE

Affiliations

Name	Worth II, Johnny Lee	DOIID	392098	NAIC NPN	7209683

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Resident	Adjuster	Independent
Inactive	Resident	Agent	Life	8/18/2011	6/1/2015
Inactive	Resident	Agent	Casualty	8/18/2011	6/1/2015
Inactive	Resident	Agent	General Lines	7/17/2000	8/15/2000
Inactive	Resident	Agent	Health	8/18/2011	6/1/2015
Inactive	Resident	Agent	Property	8/18/2011	6/1/2015
Inactive	Resident	Agent	Variable Life and Variable Annuities	8/18/2011	6/1/2015
Inactive	Resident	Solicitor	General Lines	1/13/1984	7/14/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Assurance Company	300897	Agent - Casualty	1/22/2007	5/31/2011
Inactive	AIG Assurance Company	300897	Agent - Property	1/22/2007	5/31/2011
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	5/3/2011	5/31/2011
Inactive	Aegis Security Insurance Company	300492	Agent - Property	5/3/2011	5/31/2011
Inactive	AmTrust Insurance Company	300179	Agent - Casualty	2/19/2002	12/13/2009
Inactive	AmTrust Insurance Company	300179	Agent - Property	2/19/2002	12/13/2009
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/10/1997	3/21/2001
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/10/1997	3/21/2001
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	6/19/2008	6/5/2009
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	6/19/2008	6/5/2009
Inactive	American States Insurance Company	301230	Agent - Health	4/2/1992	7/7/2004
Inactive	American States Life Insurance Company	301884	Agent - Health	4/6/1988	12/6/2004
Inactive	American States Life Insurance Company	301884	Agent - Life	4/6/1988	12/6/2004
Inactive	Bedivere Insurance Company	300710	Agent - Casualty	8/19/2008	1/5/2010
Inactive	Bedivere Insurance Company	300710	Agent - Property	8/19/2008	1/5/2010
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/17/2013	6/1/2015
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/17/2013	6/1/2015
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	2/26/2008	5/31/2011
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Property	2/26/2008	5/31/2011
Inactive	Conseco Insurance Company	301202	Agent - Life	3/25/2002	1/13/2003
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	5/31/2011
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Casualty	8/19/2008	5/31/2011
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Property	8/19/2008	5/31/2011
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	7/30/2012	6/1/2015
Inactive	Encompass Indemnity Company	546376	Agent - Property	7/30/2012	6/1/2015
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	7/30/2012	6/1/2015
Inactive	Encompass Insurance Company of America	556578	Agent - Property	7/30/2012	6/1/2015
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	2/24/2005	7/7/2011
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	2/24/2005	7/7/2011
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	2/24/2005	7/7/2011
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	2/24/2005	7/7/2011
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	2/24/2005	7/7/2011
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	2/24/2005	7/7/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/17/2013	6/1/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/17/2013	6/1/2015
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	5/9/2000	5/31/2011
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	5/31/2001	5/31/2011
Inactive	Granite State Insurance Company	300818	Agent - Casualty	1/22/2007	5/31/2011
Inactive	Granite State Insurance Company	300818	Agent - Property	1/22/2007	5/31/2011
Inactive	GuideOne Life Insurance Company	300098	Agent - Health	8/18/1998	2/8/2001
Inactive	GuideOne Life Insurance Company	300098	Agent - Life	8/18/1998	2/8/2001
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	11/7/2007
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	7/17/2000	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	11/7/2007
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	11/16/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	7/17/2000	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	11/16/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	11/16/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	7/17/2000	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	11/16/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	11/16/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	7/17/2000	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	11/16/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	11/16/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	7/17/2000	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	11/16/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009	5/31/2011
Inactive	Humana Insurance Company	301104	Agent - Health	12/18/2007	5/31/2011
Inactive	Humana Insurance Company	301104	Agent - Life	12/18/2007	5/31/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/18/2007	5/31/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/18/2007	5/31/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Health	12/18/2007	5/31/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Life	12/18/2007	5/31/2011
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/18/2007	5/31/2011
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/18/2007	5/31/2011
Inactive	Lamorak Insurance Company	301231	Agent - Casualty	8/19/2008	1/5/2010
Inactive	Lamorak Insurance Company	301231	Agent - Property	8/19/2008	1/5/2010
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	2/24/2005	7/7/2011
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	2/24/2005	7/7/2011
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	3/17/2000	3/31/2001
Inactive	Milford Casualty Insurance Company	301460	Agent - Casualty	2/10/2009	12/13/2009
Inactive	Milford Casualty Insurance Company	301460	Agent - Property	2/10/2009	12/13/2009
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	1/25/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	1/25/2011
Inactive	SECURA Insurance Company	301656	Agent - Casualty	9/1/2011	6/1/2015
Inactive	SECURA Insurance Company	301656	Agent - Property	9/1/2011	6/1/2015
Inactive	SECURA Supreme Insurance Company	645533	Agent - Casualty	9/1/2011	6/1/2015
Inactive	SECURA Supreme Insurance Company	645533	Agent - Property	9/1/2011	6/1/2015
Inactive	Security National Insurance Company	301151	Agent - Casualty	2/19/2002	12/13/2009
Inactive	Security National Insurance Company	301151	Agent - Property	2/19/2002	12/13/2009
Inactive	Symetra Life Insurance Company	301691	Agent - Health	11/1/1998	12/30/2010
Inactive	Symetra Life Insurance Company	301691	Agent - Life	11/1/1998	12/30/2010
Inactive	Symetra Life Insurance Company	301691	Agent - Variable Life and Variable Annuities	5/31/2001	12/30/2010
Inactive	Trinity Universal Insurance Company	300911	Agent - Casualty	2/19/2002	6/9/2009
Inactive	Trinity Universal Insurance Company	300911	Agent - Property	2/19/2002	6/9/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	11/16/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	7/17/2000	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	11/16/2009
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	5/28/2003	3/28/2005
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	5/28/2003	3/28/2005
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Variable Life and Variable Annuities	5/28/2003	3/28/2005
Inactive	Wilco Life Insurance Company	300122	Agent - Life	4/8/2002	6/21/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Designated Agent Company Inc.	681257	Agent - Life
Denied	Designated Agent Company Inc.	681257	Agent - Health
Inactive	Investors Brokerage Services Insurance Agency Inc.	399040	Agent - Life	2/24/2003	3/3/2004
Inactive	Investors Brokerage Services Insurance Agency Inc.	399040	Agent - Variable Life and Variable Annuities	2/24/2003	3/3/2004
Inactive	Perennial Insurance Group LLC	398659	Agent - Life	2/7/2008	5/31/2011
Inactive	Perennial Insurance Group LLC	398659	Agent - Health	2/7/2008	5/31/2011
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	8/9/2001	2/4/2002
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	8/9/2001	2/18/2003
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Variable Life and Variable Annuities	8/9/2001	2/4/2002
Inactive	World Marketing Alliance Inc.	398156	Agent - Life	5/6/1997	2/4/2002
Inactive	World Marketing Alliance Inc.	398156	Agent - Health	5/5/2000	3/21/2003
Inactive	World Marketing Alliance Inc.	398156	Agent - Variable Life and Variable Annuities	4/2/2001	2/4/2002
Inactive	Worth Insurance Group INC	398245	Agent - Life	8/22/2002	5/31/2011
Inactive	Worth Insurance Group INC	398245	Agent - Health	8/22/2002	5/31/2011
Inactive	Worth Insurance Group INC	398245	Agent - Property	8/22/2002	5/31/2011
Inactive	Worth Insurance Group INC	398245	Agent - Casualty	8/22/2002	5/31/2011
Inactive	Worth Insurance Group LLC	684698	Agent - Life	2/13/2009	3/31/2010
Inactive	Worth Insurance Group LLC	684698	Agent - Health	2/13/2009	3/31/2010
Inactive	Worth Insurance Group LLC	684698	Agent - Property	2/13/2009	3/31/2010
Inactive	Worth Insurance Group LLC	684698	Agent - Casualty	2/13/2009	3/31/2010