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
Inactive	Non Resident	Agent	Property	4/27/2020	10/6/2025
Inactive	Non Resident	Agent	Casualty	4/27/2020	10/6/2025
* 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
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
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	8/26/2020	10/6/2025
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	8/26/2020	10/6/2025
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	5/27/2020	12/10/2025
Inactive	United States Fire Insurance Company	582240	Agent - Property	5/27/2020	12/10/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PTZ Insurance Agency LTD	695420	Agent - Casualty	12/6/2022	10/6/2025
Inactive	PTZ Insurance Agency LTD	695420	Agent - Property	12/6/2022	10/6/2025