DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Masthead Insurance Agency Inc.	DOIID	1141536	NAIC NPN	19946011

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/24/2021		3/31/2025
Active	Non Resident	Agent	Property	6/24/2021		3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/8/2022		3/31/2025
* 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	01/15/2025	03/31/2025
Surplus Lines Broker	01/15/2025	03/31/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mccathron, Richard Lyn	659599	Agent - Casualty	6/24/2021
Active	Mccathron, Richard Lyn	659599	Agent - Property	6/24/2021
Active	Mccathron, Richard Lyn	659599	Surplus Lines Broker - Not Applicable	3/8/2022