DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Henry, Samuel W	DOIID	694640	NAIC NPN	8979946

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	12/2/2008	5/31/2010
Inactive	Non Resident	Agent	Casualty	12/2/2008	5/31/2010
* 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	Travelers Indemnity Company (The)	301855	Agent - Casualty	6/23/2009	1/20/2010
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	6/23/2009	1/20/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Homeinsurance.Com, LLC	645411	Agent - Property	6/23/2009	1/20/2010
Inactive	Homeinsurance.Com, LLC	645411	Agent - Casualty	6/23/2009	1/20/2010