DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Henrikson, Michael S	DOIID	630343	NAIC NPN	8476637

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	4/17/2006	4/21/2008
Inactive	Non Resident	Agent	Casualty	5/8/2013	12/31/2017
Inactive	Non Resident	Agent	Property	5/8/2013	12/31/2017
Inactive	Non Resident	Staff Adjuster	Property & Casualty	4/1/2010	11/19/2013
* 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	Caterpillar Insurance Company	300759	Agent - Casualty	5/8/2013	11/9/2016
Inactive	Caterpillar Insurance Company	300759	Agent - Property	5/8/2013	11/9/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Caterpillar Insurance Services Corporation	557115	Agent - Casualty	5/8/2013	11/10/2016
Inactive	Caterpillar Insurance Services Corporation	557115	Agent - Property	5/8/2013	11/10/2016