DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Henderson, Valerie A	DOIID	509109	NAIC NPN	7213499

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	7/31/2000	8/15/2000
Inactive	Resident	Agent	Health	9/3/2002	5/6/2005
Inactive	Resident	Agent	Property	5/10/2002	5/6/2005
Inactive	Resident	Agent	Life	9/3/2002	5/6/2005
Inactive	Resident	Agent	Casualty	5/10/2002	5/6/2005
* 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	Great West Casualty Company	301015	Agent - Casualty	5/10/2002	8/16/2002
Inactive	Great West Casualty Company	301015	Agent - Property	5/10/2002	8/16/2002
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	9/3/2002	12/3/2004
Inactive	State Farm Fire and Casualty Company	301809	Agent - General Lines	7/31/2000	7/31/2000
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	9/3/2002	12/3/2004
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	9/3/2002	12/3/2004
Inactive	State Farm General Insurance Company	301122	Agent - General Lines	7/31/2000	8/15/2000
Inactive	State Farm General Insurance Company	301122	Agent - Property	9/3/2002	12/3/2004
Inactive	State Farm Life Insurance Company	301810	Agent - Life	9/3/2002	12/3/2004
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	9/3/2002	12/3/2004
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - General Lines	7/31/2000	8/15/2000
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	9/3/2002	12/3/2004
Inactive	Time Insurance Company	300683	Agent - Health	2/25/2003	12/3/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ted R. Brown Insurance Agency Inc.	399499	Agent - Property	4/12/2002	4/18/2002
Inactive	Ted R. Brown Insurance Agency Inc.	399499	Agent - Casualty	4/12/2002	4/18/2002