DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hendrickx, Ethan James	DOIID	753771	NAIC NPN	3340422

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/3/2011		10/31/2025
Active	Non Resident	Agent	Life	6/3/2011		10/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All Savers Insurance Company	301940	Agent - Health	3/4/2024
Active	All Savers Insurance Company	301940	Agent - Life	3/4/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/4/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	3/4/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/4/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Life	3/4/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/4/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Life	3/4/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Gallagher Benefit Services Inc	525782	Agent - Health	4/26/2024
Active	Gallagher Benefit Services Inc	525782	Agent - Life	4/26/2024