DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Henry, Trevor James	DOIID	823345	NAIC NPN	16209690

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	10/15/2018	6/17/2022
Active	Non Resident	Independent Adjuster	Workers' Compensation	7/3/2025		4/30/2027
Active	Non Resident	Independent Adjuster	Property & Casualty	7/3/2025		4/30/2027
Inactive	Non Resident	Staff Adjuster	Property & Casualty	10/5/2013	4/30/2017
* 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
Independent Adjuster	02/15/2027	04/30/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bristol West Insurance Company	301655	Agent - Personal Lines	10/23/2018	9/9/2021
Inactive	Farmers Insurance Exchange	300336	Agent - Personal Lines	6/12/2020	9/9/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Personal Lines	3/11/2021	9/9/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foremost Express Insurance Agency Inc.	515334	Agent - Personal Lines	10/23/2018	1/14/2019
Inactive	Fx Insurance Agency, LLC	646184	Agent - Personal Lines	1/14/2019	8/19/2021