black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KELLEY K. HENRIOTT

PRODUCER NON-RESIDENT

License Number:
PRN471647
Status:
First Licensure:
12/09/2023
Cancel Date:
None

Mailing:
LAFAYETTE, IN 47909
Phone:
+1 (765) 429-5000 x5248
Fax:
+1 (765) 423-2599
Email:
info@henriott.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/09/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
HENRIOTT GROUP, INC
12/12/2023 AGN471823

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALL SAVERS INSURANCE COMPANY
08/28/2024 LHF233900
UNITEDHEALTHCARE INSURANCE COMPANY
08/28/2024 LHF700
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
08/28/2024 HMF393375

Authority

Description Issue Date Termination Date Status
CASUALTY 12/09/2023 Active
HEALTH 12/09/2023 Active
LIFE 12/09/2023 Active
PROPERTY 12/09/2023 Active

Responsible For

Name License Number
HENRIOTT GROUP, INC AGN471823

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5307900

Other Addresses

Address Type
HENRIOTT GROUP INC
1020 GEMINI LN STE 100
WEST LAFAYETTE, IN 47906-1750
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 01/08/2026 06:36:32 AM