black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

HENRIOTT GROUP, INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN471823
Status:
First Licensure:
12/12/2023
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
1020 GEMINI LN STE 100
WEST LAFAYETTE, IN 47906-1750
Mailing:
1020 GEMINI LN STE 100
WEST LAFAYETTE, IN 47906-1750
Phone:
+1 (765) 429-5000
Fax:
+1 (765) 423-2599
Email:
info@henriott.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 12/12/2023 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALL SAVERS INSURANCE COMPANY
09/15/2024 LHF233900 06/02/2025
UNITEDHEALTHCARE INSURANCE COMPANY
09/15/2024 LHF700 06/02/2025
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
09/15/2024 HMF393375 06/02/2025

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
KELLEY K. HENRIOTT
12/12/2023 PRN471647

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
KELLEY K. HENRIOTT PRN471647

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1627276

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: 11/11/2026 11:58:01 PM