DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Henderson, Martha Lilly	DOIID	1082239	NAIC NPN	19044512

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/27/2020		12/31/2025
Active	Non Resident	Agent	Casualty	4/27/2020		12/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Independence American Insurance Company	524747	Agent - Casualty	9/10/2023	12/16/2024
Inactive	Independence American Insurance Company	524747	Agent - Property	9/10/2023	12/16/2024
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	8/26/2020
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	8/26/2020
Active	United States Fire Insurance Company	582240	Agent - Casualty	5/27/2020
Active	United States Fire Insurance Company	582240	Agent - Property	5/27/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	PTZ Insurance Agency LTD	695420	Agent - Casualty	12/6/2022
Active	PTZ Insurance Agency LTD	695420	Agent - Property	12/6/2022