DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hattemer, Henry Alexander	DOIID	913398	NAIC NPN	17917135

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/22/2016	3/31/2020
Inactive	Non Resident	Agent	Health	4/22/2016	3/31/2020
* 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	Fidelity Security Life Insurance Company	300466	Agent - Health	5/2/2016	3/31/2020
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	5/2/2016	3/18/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	NFS Insurance Agency LLC	904697	Agent - Life	6/13/2016	3/18/2019
Inactive	NFS Insurance Agency LLC	904697	Agent - Health	6/13/2016	3/31/2020