DEPARTMENT OF INSURANCE

Affiliations

Name	Henderson, Timothy	DOIID	845000	NAIC NPN	17313673

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Resident	Agent	Life
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Casualty	7/15/2014	10/1/2017
Inactive	Resident	Agent	Property	7/24/2014	10/1/2017
* 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	American Fire and Casualty Company	300567	Agent - Casualty	4/21/2015	7/7/2017
Inactive	American Fire and Casualty Company	300567	Agent - Property	4/21/2015	7/7/2017
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	4/21/2015	7/7/2017
Inactive	Consolidated Insurance Company	300943	Agent - Property	4/21/2015	7/7/2017
Inactive	Indiana Insurance Company	301909	Agent - Casualty	4/21/2015	7/7/2017
Inactive	Indiana Insurance Company	301909	Agent - Property	4/21/2015	7/7/2017
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	4/21/2015	7/7/2017
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	4/21/2015	7/7/2017
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	4/21/2015	7/7/2017
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	4/21/2015	7/7/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	4/21/2015	7/7/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Property	4/21/2015	7/7/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	4/21/2015	7/7/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	4/21/2015	7/7/2017
Inactive	Peerless Insurance Company	301910	Agent - Casualty	4/21/2015	7/7/2017
Inactive	Peerless Insurance Company	301910	Agent - Property	4/21/2015	7/7/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	9/12/2014	7/7/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	9/12/2014	7/7/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/12/2014	7/7/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/12/2014	7/7/2017
Inactive	West American Insurance Company	301112	Agent - Casualty	4/21/2015	7/7/2017
Inactive	West American Insurance Company	301112	Agent - Property	4/21/2015	7/7/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Louisville Insurance, LLC	790969	Agent - Property	9/12/2014	9/29/2015
Inactive	Louisville Insurance, LLC	790969	Agent - Casualty	9/12/2014	9/29/2015