DEPARTMENT OF INSURANCE

Name	Henderson, Nathan Todd	DOIID	919859	NAIC NPN	17996460

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Personal Lines
Inactive	Resident	Agent	Casualty	4/19/2018	2/28/2023
Inactive	Resident	Agent	Property	4/19/2018	2/28/2023
Inactive	Resident	Agent	Health	7/12/2016	2/28/2023
Pending Replacement	Resident	Agent	Life	5/5/2023		2/28/2025
Inactive	Resident	Independent Adjuster	Property & Casualty	5/27/2021	3/1/2023
Active	Resident	Staff Adjuster	Property & Casualty	5/5/2023		2/28/2027

*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	12/15/2024	02/28/2025
Staff Adjuster	12/15/2024	02/28/2025	02/25/2025	02/25/2025	Yes

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	10 Kathryn Ave Florence, KY 41042
Residence	Not Public Information

Internet Information

Type	Address
Business Email	Nathan@Erieinsurance.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(859) 547-9610