DEPARTMENT OF INSURANCE

Affiliations

Name	Hendrickson, Virginia Reid	DOIID	323997	NAIC NPN	100625

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	General Lines	10/13/1998	8/15/2000
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	5/31/2001	4/27/2006
Inactive	Non Resident	Agent	Life	10/13/1998	4/27/2006
Inactive	Non Resident	Agent	Property	8/15/2000	4/27/2006
Inactive	Non Resident	Agent	Casualty	8/15/2000	4/27/2006
Inactive	Non Resident	Agent	Health	10/13/1998	4/27/2006
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	10/18/2002	4/27/2006
Inactive	21st Century North America Insurance Company	300884	Agent - Property	10/18/2002	4/27/2006
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	6/29/2001	4/27/2006
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	6/29/2001	4/27/2006
Inactive	American International Life Assurance Co. of NY	300433	Agent - Health	7/27/2001	4/27/2006
Inactive	American International Life Assurance Co. of NY	300433	Agent - Life	7/27/2001	4/27/2006
Inactive	American Security Insurance Company	300901	Agent - Casualty	8/15/2000	2/9/2005
Inactive	American Security Insurance Company	300901	Agent - General Lines	10/13/1998	8/15/2000
Inactive	American Security Insurance Company	300901	Agent - Property	8/15/2000	2/9/2005
Inactive	C.M. Life Insurance Company	301335	Agent - Health	5/13/1999	5/8/2006
Inactive	C.M. Life Insurance Company	301335	Agent - Life	5/13/1999	5/8/2006
Inactive	Chase Insurance Life Company	301287	Agent - Health	11/1/2003	5/24/2006
Inactive	Chase Insurance Life Company	301287	Agent - Life	11/1/2003	5/24/2006
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	1/16/2004	5/24/2006
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	1/16/2004	5/24/2006
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Variable Life and Variable Annuities	1/16/2004	5/24/2006
Inactive	Continental Casualty Company	301019	Agent - Health	5/25/2001	12/6/2004
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	11/17/1999	4/27/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Health	2/19/1999	4/27/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Life	2/19/1999	4/27/2006
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	4/23/1999	4/27/2006
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	4/23/1999	4/27/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	5/12/2005
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	1/4/2000	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	5/12/2005
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	5/12/2005
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	1/4/2000	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	5/12/2005
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	5/12/2005
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	1/4/2000	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	5/12/2005
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	2/2/2004	5/16/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	2/2/2004	5/16/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	5/12/2005
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	1/4/2000	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	5/12/2005
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	2/16/1999	4/27/2006
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	4/6/2001	4/27/2006
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	9/27/1999	1/31/2005
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	9/27/1999	3/19/2001
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	2/18/1999	4/28/2006
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	2/18/1999	4/28/2006
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	5/31/2001	4/28/2006
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	5/13/1999	5/26/2006
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	5/13/1999	5/26/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	3/3/1999	4/27/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	3/3/1999	4/27/2006
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	10/13/1998	4/27/2006
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	10/13/1998	4/27/2006
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	3/30/2001	4/27/2006
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Variable Life and Variable Annuities	5/31/2001	4/27/2006
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	6/9/1999	12/11/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	6/9/1999	12/11/2002
Inactive	Protective Life Insurance Company	300638	Agent - Health	11/15/1999	4/27/2006
Inactive	Protective Life Insurance Company	300638	Agent - Life	11/15/1999	4/27/2006
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/29/1999	4/27/2006
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/29/1999	4/27/2006
Inactive	Prudential Insurance Company of America	300784	Agent - Health	2/16/1999	12/28/2005
Inactive	Prudential Insurance Company of America	300784	Agent - Life	2/16/1999	12/28/2005
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/1/2003	8/5/2005
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2003	8/5/2005
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	10/8/1999	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	10/8/1999	10/1/2003
Inactive	State Life Insurance Company	301497	Agent - Health	6/23/2003	4/27/2006
Inactive	State Life Insurance Company	301497	Agent - Life	6/23/2003	4/27/2006
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	3/25/1999	3/14/2005
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	2/2/2004	5/16/2006
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	2/2/2004	5/16/2006
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	4/4/2001	4/27/2006
Inactive	Transamerica Life Insurance Company	300571	Agent - Variable Life and Variable Annuities	5/31/2001	4/27/2006
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	12/14/2004	4/27/2006
Inactive	Trustmark Insurance Company	300317	Agent - Health	6/11/2001	5/19/2003
Inactive	Trustmark Insurance Company	300317	Agent - Life	6/11/2001	5/19/2003
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	5/12/2005
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	1/4/2000	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	5/12/2005
Inactive	Union Security Life Insurance Company	300903	Agent - Health	10/13/1998	2/9/2005
Inactive	Union Security Life Insurance Company	300903	Agent - Life	10/13/1998	2/9/2005
Inactive	West Coast Life Insurance Company	301607	Agent - Life	4/6/2005	4/27/2006
Inactive	Western National Life Insurance Company	300461	Agent - Life	3/12/1999	6/24/2005
Inactive	Western National Life Insurance Company	300461	Agent - Variable Life and Variable Annuities	5/31/2001	4/27/2006
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	5/25/2001	12/6/2004
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	5/25/2001	12/6/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bank One Kentucky-National Association	399770	Agent - General Lines	5/18/2000	8/15/2000
Inactive	Bank One Kentucky-National Association	399770	Agent - Life	4/20/2000	3/31/2006
Inactive	Bank One Kentucky-National Association	399770	Agent - Health	4/20/2000	3/31/2006
Inactive	Bank One Kentucky-National Association	399770	Agent - Property	8/15/2000	3/31/2006
Inactive	Bank One Kentucky-National Association	399770	Agent - Casualty	8/15/2000	3/31/2006
Inactive	Chase Insurance Agency, Inc.	398324	Agent - General Lines	11/9/1998	8/15/2000
Inactive	Chase Insurance Agency, Inc.	398324	Agent - Life	6/21/2004	10/14/2005
Inactive	Chase Insurance Agency, Inc.	398324	Agent - Health	6/21/2004	10/14/2005
Inactive	Chase Insurance Agency, Inc.	398324	Agent - Variable Life and Variable Annuities	6/21/2004	10/14/2005
Inactive	Chase Insurance Agency, Inc.	398324	Agent - Property	6/21/2004	10/14/2005
Inactive	Chase Insurance Agency, Inc.	398324	Agent - Casualty	6/21/2004	10/14/2005
Inactive	Congress Insurance Agency, Inc.	560752	Agent - Life	12/27/2002	4/27/2006
Inactive	Congress Insurance Agency, Inc.	560752	Agent - Health	12/27/2002	4/27/2006
Inactive	Congress Insurance Agency, Inc.	560752	Agent - Variable Life and Variable Annuities	12/27/2002	4/27/2006
Inactive	Congress Insurance Agency, Inc.	560752	Agent - Property	12/27/2002	4/27/2006
Inactive	Congress Insurance Agency, Inc.	560752	Agent - Casualty	12/27/2002	4/27/2006