DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Henderson III, Jerry Franklin	DOIID	628407	NAIC NPN	2617069

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	3/29/2006		12/31/2026
Active	Non Resident	Agent	Casualty	3/29/2006		12/31/2026
* 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
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	12/13/2006
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	12/13/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arthur J Gallagher & Co Ins Brokers Of California Inc	513894	Agent - Casualty	5/10/2007	1/30/2023
Inactive	Arthur J Gallagher & Co Ins Brokers Of California Inc	513894	Agent - Property	5/10/2007	1/30/2023
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	3/7/2023
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	3/7/2023