DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hendricks, Mark	DOIID	1036429	NAIC NPN	17113917

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/11/2019		7/31/2027
Active	Non Resident	Agent	Casualty	4/11/2019		7/31/2027
* 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
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	3/21/2023	8/12/2025
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	3/21/2023	8/12/2025
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	4/19/2019	8/28/2025
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	4/19/2019	8/28/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	4/24/2019	8/28/2025
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Property	4/24/2019	8/28/2025