DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Henderson, Mike	DOIID	825749	NAIC NPN	2883800

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/25/2013		3/31/2025
Active	Non Resident	Agent	Property	10/25/2013		3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	12/13/2013		3/31/2025
* 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	01/15/2025	03/31/2025
Surplus Lines Broker	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	12/31/2013
Active	Fireman's Fund Insurance Company	301423	Agent - Property	12/31/2013
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	12/30/2015
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Property	12/30/2015
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	12/30/2015
Active	Liberty Mutual Insurance Company	301159	Agent - Property	12/30/2015
Active	Northland Casualty Company	300165	Agent - Casualty	7/24/2018
Active	Northland Casualty Company	300165	Agent - Property	7/24/2018
Active	Northland Insurance Company	300201	Agent - Casualty	7/24/2018
Active	Northland Insurance Company	300201	Agent - Property	7/24/2018
Active	Travelers Casualty and Surety Company	301067	Agent - Casualty	7/24/2018
Active	Travelers Casualty and Surety Company	301067	Agent - Property	7/24/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CRC Ins Services, LLC	502276	Agent - Property	12/5/2022
Active	CRC Ins Services, LLC	502276	Agent - Casualty	12/5/2022
Active	CRC Ins Services, LLC	502276	Surplus Lines Broker - Not Applicable	12/5/2022
Inactive	Swett & Crawford Of Texas Inc	598164	Agent - Property	12/31/2013	11/17/2017
Inactive	Swett & Crawford Of Texas Inc	598164	Agent - Casualty	12/31/2013	11/17/2017
Inactive	Swett & Crawford Of Texas Inc	598164	Surplus Lines Broker - Not Applicable	12/19/2013	11/17/2017