DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Henderson, Dana M	DOIID	703387	NAIC NPN	13586713

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Limited Line Credit
Inactive	Resident	Agent	Life	4/23/2012	3/1/2016
* 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	Nationwide Life Insurance Company	300495	Agent - Life	9/26/2012	12/15/2014
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	9/26/2012	12/15/2014
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	5/9/2012	11/18/2014
Inactive	Security Benefit Life Insurance Company	300583	Agent - Life	7/10/2012	12/5/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First Financial Ins Inc	596684	Agent - Life	4/25/2013	12/15/2014