DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Head III, Walter W	DOIID	337688	NAIC NPN	7186044

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	4/16/1998	4/5/1999
Inactive	Resident	Agent	Health	4/16/1998	4/5/1999
Pending Replacement	Resident	Agent	Limited Line Credit	2/25/2022		5/31/2024
* 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	American Health and Life Insurance Company	300844	Agent - Limited Line Credit	3/5/2022	7/13/2022
Inactive	Primerica Life Insurance Company	300970	Agent - Health	4/16/1998	4/5/1999
Inactive	Primerica Life Insurance Company	300970	Agent - Life	4/16/1998	4/5/1999
Inactive	Triton Insurance Company	300654	Agent - Limited Line Credit	3/5/2022	7/13/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Onemain Assurance Services LLC	751094	Agent - Limited Line Credit	3/5/2022	7/13/2022