DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Henley, Andre Javan	DOIID	1290114	NAIC NPN	20803716

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/7/2023		10/31/2024
Active	Non Resident	Agent	Health	8/7/2023		10/31/2024
Active	Non Resident	Agent	Personal Lines	8/7/2023		10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AMEX Assurance Company	301728	Agent - Health	8/11/2023
Active	AMEX Assurance Company	301728	Agent - Personal Lines	8/11/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Assurant Insurance Agency, Inc	559398	Agent - Life
Active	Assurant Insurance Agency, Inc	559398	Agent - Health	8/11/2023