DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hendricks Insurance	DOIID	1315584	NAIC NPN	20578844

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/19/2023		3/31/2025
Active	Non Resident	Agent	Life	12/19/2023		3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/23/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	12/23/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	12/23/2023
Active	Medco Containment Life Insurance Company	301557	Agent - Health	12/27/2023
Active	SilverScript Insurance Company	663526	Agent - Health	12/23/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hendricks, Judith Nicole	315540	Agent - Health	12/19/2023
Active	Hendricks, Judith Nicole	315540	Agent - Life	12/19/2023