DEPARTMENT OF INSURANCE

Affiliations

Name	Hendricks, Warren C	DOIID	368239	NAIC NPN	7199450

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	8/15/2000	7/1/2004
Inactive	Resident	Agent	Life	1/17/1991	7/1/2004
Inactive	Resident	Agent	General Lines	8/13/1993	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	7/1/2004
Inactive	Resident	Agent	Health Maintenance Organization	5/4/1995	3/1/2001
Inactive	Resident	Agent	Health	1/17/1991	7/1/2004
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	4/30/1998	7/1/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/30/1998	7/1/2004
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	4/15/1996	6/5/1997
Inactive	American Growers Insurance Company	300841	Agent - Casualty	8/15/2000	4/14/2003
Inactive	American Growers Insurance Company	300841	Agent - General Lines	7/13/1998	8/15/2000
Inactive	American Growers Insurance Company	300841	Agent - Property	8/15/2000	4/14/2003
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	5/4/1995	3/31/1997
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/6/1995	3/31/1997
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/6/1995	3/31/1997
Inactive	Assurance Company of America	300432	Agent - General Lines	10/30/1995	3/31/1996
Inactive	Assurity Life Insurance Company	301099	Agent - Health	9/19/2002	4/17/2003
Inactive	Assurity Life Insurance Company	301099	Agent - Life	9/19/2002	4/17/2003
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	4/2/2001	7/1/2004
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	4/2/2001	7/1/2004
Inactive	Celtic Insurance Company	300877	Agent - Health	3/30/1995	3/31/1997
Inactive	Celtic Insurance Company	300877	Agent - Life	3/30/1995	3/31/1997
Inactive	Chase Life and Annuity Company	300145	Agent - Health	2/28/1995	12/11/1996
Inactive	Chase Life and Annuity Company	300145	Agent - Life	2/28/1995	12/11/1996
Inactive	Combined Insurance Company of America	301472	Agent - Health	3/19/1997	11/24/1997
Inactive	Combined Insurance Company of America	301472	Agent - Life	3/19/1997	11/24/1997
Inactive	Conseco Health Insurance Company	301725	Agent - Health	8/16/2001	7/1/2004
Inactive	Conseco Health Insurance Company	301725	Agent - Life	8/16/2001	7/1/2004
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	7/29/1993	3/17/1997
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	7/29/1993	3/17/1997
Inactive	Continental Casualty Company	301019	Agent - Health	4/10/2000	12/17/2002
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	7/12/1991	3/31/1997
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	7/12/1991	3/31/1997
Inactive	First Colony Life Insurance Company	301179	Agent - Life	9/11/1998	7/1/2004
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	9/25/1997	6/7/2002
Inactive	Great Southern Life Insurance Company	301443	Agent - Life	9/25/1997	6/7/2002
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	9/16/1993	12/31/1998
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	9/16/1993	12/31/1998
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	7/1/2004
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	9/23/1998	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	6/11/1998	7/1/2004
Inactive	Humana Insurance Company	301104	Agent - Life	6/11/1998	7/1/2004
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	5/22/1996	7/12/1996
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	1/17/1991	4/7/1997
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	1/17/1991	4/7/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Health	12/18/2000	11/7/2002
Inactive	John Alden Life Insurance Company	300573	Agent - Life	12/18/2000	11/7/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Health	4/30/1998	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	4/30/1998	8/2/2002
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	11/4/1993	3/31/1997
Inactive	Maryland Casualty Company	301719	Agent - General Lines	10/30/1995	3/31/1996
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	2/17/2000	11/19/2001
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	1/16/1996	4/7/1997
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	1/16/1996	4/7/1997
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/17/1997	7/1/2004
Inactive	Pan-American Assurance Company	301533	Agent - Health	7/20/1999	7/1/2004
Inactive	Pan-American Assurance Company	301533	Agent - Life	7/20/1999	7/1/2004
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	7/20/1999	7/1/2004
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	7/20/1999	7/1/2004
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	4/7/1998	12/12/2002
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	4/7/1998	12/12/2002
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	3/7/2002	5/23/2003
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	4/13/1995	3/31/1997
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	4/13/1995	3/31/1997
Inactive	Principal Life Insurance Company	300129	Agent - Health	11/26/1997	7/1/2004
Inactive	Principal Life Insurance Company	300129	Agent - Life	11/26/1997	7/1/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	4/15/1998	1/2/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	4/15/1998	1/2/2003
Inactive	Redland Insurance Company	300687	Agent - General Lines	5/24/1994	3/31/1997
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2000	5/5/2003
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	5/6/1997	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2000	5/5/2003
Inactive	Time Insurance Company	300683	Agent - Health	11/10/1998	7/1/2004
Inactive	Time Insurance Company	300683	Agent - Life	11/10/1998	7/1/2004
Inactive	USG Annuity & Life Company	300457	Agent - Health	7/24/2000	1/1/2004
Inactive	USG Annuity & Life Company	300457	Agent - Life	7/24/2000	12/10/2003
Inactive	Union Labor Life Insurance Company	301832	Agent - Health	8/17/1998	12/10/1999
Inactive	Union Labor Life Insurance Company	301832	Agent - Life	8/17/1998	12/10/1999
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Health	1/1/2004	7/1/2004
Inactive	West Coast Life Insurance Company	301607	Agent - Life	6/20/2000	9/29/2003
Inactive	Wilco Life Insurance Company	300122	Agent - Health	11/8/1993	4/2/2001
Inactive	Wilco Life Insurance Company	300122	Agent - Life	11/8/1993	4/2/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cadiz Insurance Agency Inc.	398824	Agent - General Lines	8/13/1993	8/15/2000
Inactive	Cadiz Insurance Agency Inc.	398824	Agent - Life	8/13/1993	7/1/2004
Inactive	Cadiz Insurance Agency Inc.	398824	Agent - Health	8/13/1993	7/1/2004
Inactive	Cadiz Insurance Agency Inc.	398824	Agent - Property	8/15/2000	5/5/2003
Inactive	Cadiz Insurance Agency Inc.	398824	Agent - Casualty	8/15/2000	5/5/2003
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	West Kentucky Group Benefits	401049	Agent - Life	12/28/1998	2/24/2003
Inactive	West Kentucky Group Benefits	401049	Agent - Health	12/28/1998	2/24/2003