DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hendricks, Gary Wayne	DOIID	721294	NAIC NPN	15559208

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	1/18/2010	12/8/2011
Inactive	Non Resident	Agent	Health	1/18/2010	12/8/2011
Inactive	Non Resident	Agent	Casualty	1/18/2010	12/8/2011
* 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	AMEX Assurance Company	301728	Agent - Casualty	3/18/2010	12/10/2010
Inactive	AMEX Assurance Company	301728	Agent - Health	3/18/2010	12/10/2010
Inactive	AMEX Assurance Company	301728	Agent - Property	3/18/2010	12/10/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	APAC Customer Services Inc	505425	Agent - Health	6/3/2010	12/10/2010
Inactive	APAC Customer Services Inc	505425	Agent - Property	6/3/2010	12/10/2010
Inactive	APAC Customer Services Inc	505425	Agent - Casualty	6/3/2010	12/10/2010