DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lopez, Henry A	DOIID	796340	NAIC NPN	7408763

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/31/2012		4/30/2026
Active	Non Resident	Agent	Property	10/31/2012		4/30/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	11/21/2012		4/30/2026
* 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	Navigators Insurance Company	301312	Agent - Casualty	12/12/2012
Active	Navigators Insurance Company	301312	Agent - Property	12/12/2012
Inactive	Protective Insurance Company	301117	Agent - Casualty	3/26/2018	9/15/2020
Inactive	Protective Insurance Company	301117	Agent - Property	3/26/2018	9/15/2020
Inactive	Sagamore Insurance Company	300942	Agent - Casualty	3/26/2018	9/15/2020
Inactive	Sagamore Insurance Company	300942	Agent - Property	3/26/2018	9/15/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Navigators Management Co Inc	686945	Agent - Property	12/12/2012
Active	Navigators Management Co Inc	686945	Agent - Casualty	12/12/2012
Active	Navigators Management Co Inc	686945	Surplus Lines Broker - Not Applicable	12/17/2012