DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Henken, Douglas	DOIID	1028573	NAIC NPN	3098007

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/23/2019		5/31/2025
Active	Non Resident	Agent	Casualty	2/12/2019		5/31/2025
Active	Non Resident	Agent	Health	2/12/2019		5/31/2025
Active	Non Resident	Agent	Property	2/12/2019		5/31/2025
Withdrawn	Non Resident	Managing General Agent	Not Applicable
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/3/2019		5/31/2025
* 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 Alternative Insurance Corporation	301697	Agent - Casualty	2/22/2019
Active	American Alternative Insurance Corporation	301697	Agent - Property	2/22/2019
Active	American Family Home Insurance Company	301817	Agent - Casualty	2/22/2019
Active	American Family Home Insurance Company	301817	Agent - Property	2/22/2019
Active	American Southern Home Insurance Company	626276	Agent - Casualty	2/22/2019
Active	American Southern Home Insurance Company	626276	Agent - Property	2/22/2019
Active	QBE Insurance Corporation	300515	Agent - Health	9/3/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Community Association Underwriters Of America, Inc.	608111	Agent - Casualty	5/30/2019
Active	Community Association Underwriters Of America, Inc.	608111	Agent - Health	11/8/2019
Active	Community Association Underwriters Of America, Inc.	608111	Agent - Property	5/30/2019
Active	Community Association Underwriters Of America, Inc.	608111	Surplus Lines Broker - Not Applicable	4/22/2020
Active	Community Association Underwriters Of America, Inc.	608111	Agent - Life	11/8/2019