DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Henson, Michael Todd	DOIID	521496	NAIC NPN	3487551

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/5/2007	10/20/2010
Inactive	Non Resident	Agent	Health	7/5/2007	10/20/2010
Inactive	Non Resident	Agent	Casualty	2/9/2001	1/31/2004
Inactive	Non Resident	Agent	Property	2/9/2001	1/31/2004
* 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	Assurance Company of America	300432	Agent - Casualty	3/12/2001	1/31/2004
Inactive	Assurance Company of America	300432	Agent - Property	3/5/2001	1/31/2004
Inactive	Balboa Life Insurance Company	301327	Agent - Health	7/17/2007	10/20/2009
Inactive	Balboa Life Insurance Company	301327	Agent - Life	7/17/2007	10/20/2009
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	3/7/2001	1/31/2004
Inactive	Glatfelter Insurance Company	301640	Agent - Property	3/12/2001	1/31/2004
Inactive	Maryland Casualty Company	301719	Agent - Casualty	2/9/2001	1/31/2004
Inactive	Maryland Casualty Company	301719	Agent - Property	2/9/2001	1/31/2004
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	3/12/2001	1/31/2004
Inactive	Northern Insurance Company of New York	301317	Agent - Property	3/12/2001	1/31/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	7/30/2007	8/21/2010
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	7/30/2007	8/21/2010
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	12/13/2007	10/20/2010
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	12/13/2007	10/20/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/28/2007	2/26/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/28/2007	2/26/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Balboa Insurance Services Inc.	516610	Agent - Life	7/20/2007	6/3/2009
Inactive	Balboa Insurance Services Inc.	516610	Agent - Health	7/20/2007	6/3/2009
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Life	4/15/2009	10/27/2009
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Health	4/15/2009	10/27/2009
Inactive	Directnet Insurance Agency, Inc.	523020	Agent - Life	7/20/2007	9/17/2008
Inactive	Directnet Insurance Agency, Inc.	523020	Agent - Health	7/20/2007	9/17/2008