DEPARTMENT OF INSURANCE

Affiliations

Name	Head Jr, Carl Thomas	DOIID	392137	NAIC NPN	524928

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	2/13/2019		7/31/2026
Active	Resident	Agent	Health	2/13/2019		7/31/2026
Active	Resident	Agent	Property	2/13/2019		7/31/2026
Active	Resident	Agent	Casualty	2/13/2019		7/31/2026
Inactive	Resident	Agent	Health Maintenance Organization	1/22/1993	3/1/2001
Inactive	Resident	Agent	General Lines	9/1/1987	8/15/2000
AFFIDAVIT ON FILE
* 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	Aetna Life Insurance Company	301140	Agent - Health	9/2/1987	10/24/2002
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/2/1987	10/24/2002
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/27/2015	11/17/2016
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	9/30/1987	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/27/2015	11/17/2016
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	3/25/2004	7/31/2012
Inactive	American Fire and Casualty Company	300567	Agent - Property	3/25/2004	7/31/2012
Inactive	American States Insurance Company	301230	Agent - Casualty	11/15/2010	7/31/2012
Inactive	American States Insurance Company	301230	Agent - Property	11/15/2010	7/31/2012
Inactive	Assurance Company of America	300432	Agent - Casualty	5/8/2003	9/29/2010
Inactive	Assurance Company of America	300432	Agent - Property	5/8/2003	9/29/2010
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	8/14/2015	7/31/2018
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	8/14/2015	7/31/2018
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	9/1/1987	3/31/1996
Inactive	BITCO General Insurance Corporation	301305	Agent - Casualty	3/9/2017	8/6/2018
Inactive	BITCO General Insurance Corporation	301305	Agent - Property	3/9/2017	8/6/2018
Inactive	BITCO National Insurance Company	301366	Agent - Casualty	3/9/2017	8/6/2018
Inactive	BITCO National Insurance Company	301366	Agent - Property	3/9/2017	8/6/2018
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	12/13/2012	8/10/2014
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	12/13/2012	8/10/2014
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/6/2008	7/31/2012
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/6/2008	7/31/2012
Inactive	Chase Life and Annuity Company	300145	Agent - Health	8/4/1995	12/11/1996
Inactive	Chase Life and Annuity Company	300145	Agent - Life	8/4/1995	12/11/1996
Inactive	Commercial Insurance Company of Newark, New Jersey	300328	Agent - General Lines	2/4/1997	3/31/1998
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	7/31/2012
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	7/31/2012
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/27/2015	11/17/2016
Inactive	Continental Casualty Company	301019	Agent - General Lines	9/30/1987	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Health	3/23/2001	11/14/2005
Inactive	Continental Casualty Company	301019	Agent - Property	8/27/2015	11/17/2016
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	8/27/2015	11/17/2016
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	1/31/1997	3/31/1998
Inactive	Continental Insurance Company (The)	301242	Agent - Property	8/27/2015	11/17/2016
Inactive	Cumberland Surety Insurance Company Inc.	300112	Agent - General Lines	8/27/1992	8/15/2000
Inactive	FCCI Insurance Company	557454	Agent - Casualty	5/28/2003	7/31/2012
Inactive	FCCI Insurance Company	557454	Agent - Property	5/28/2003	7/31/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	10/1/2004	8/21/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	10/1/2004	8/21/2012
Inactive	Farmers New World Life Insurance Company	300536	Agent - Life	10/8/2004	7/31/2012
Inactive	Farmington Casualty Company	301137	Agent - General Lines	3/7/1990	3/31/1996
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Casualty	8/15/2000	12/27/2001
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - General Lines	2/3/1997	8/15/2000
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Property	8/15/2000	12/27/2001
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	8/29/2002	7/31/2012
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Property	8/29/2002	7/31/2012
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Casualty	8/29/2002	7/31/2012
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Property	8/29/2002	7/31/2012
Inactive	Firemen's Insurance Company of Newark, New Jersey	300247	Agent - General Lines	2/5/1997	3/31/1998
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	7/31/2012
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	7/31/2012
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	7/31/2012
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	7/31/2012
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	5/8/2003	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	5/8/2003	11/30/2007
Inactive	Glens Falls Insurance Company (The)	301922	Agent - General Lines	2/4/1997	3/31/1998
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	8/24/2005	7/31/2012
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	8/24/2005	7/31/2012
Inactive	Grange Insurance Company	300234	Agent - Casualty	8/24/2005	7/31/2012
Inactive	Grange Insurance Company	300234	Agent - Property	8/24/2005	7/31/2012
Inactive	Grange Life Insurance Company	300128	Agent - Health	8/24/2005	7/31/2012
Inactive	Grange Life Insurance Company	300128	Agent - Life	8/24/2005	7/31/2012
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	11/11/2007	7/31/2012
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	11/11/2007	7/31/2012
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	12/13/2012	8/10/2014
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/13/2012	8/10/2014
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/13/2012	8/10/2014
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	2/26/2001	11/5/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	2/26/2001	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	2/26/2001	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	2/26/2001	11/5/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	2/26/2001	7/31/2012
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	2/26/2001	7/31/2012
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	2/26/2001	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	2/26/2001	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	2/26/2001	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	2/26/2001	11/5/2008
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	7/31/2012
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	7/31/2012
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	5/31/1994	3/31/1997
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	5/31/1994	3/31/1997
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - General Lines	2/4/1997	3/31/1998
Inactive	Maryland Casualty Company	301719	Agent - Casualty	5/8/2003	9/29/2010
Inactive	Maryland Casualty Company	301719	Agent - Property	5/8/2003	9/29/2010
Inactive	Meridian Mutual Insurance Company	301303	Agent - Casualty	8/15/2000	6/1/2001
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	9/14/1987	8/15/2000
Inactive	Meridian Mutual Insurance Company	301303	Agent - Property	8/15/2000	6/1/2001
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	1/22/2001	11/17/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	1/22/2001	11/17/2008
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Casualty	10/28/2002	7/31/2012
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Property	10/28/2002	7/31/2012
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/27/2015	11/14/2016
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	9/30/1987	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/27/2015	11/14/2016
Inactive	National Trust Insurance Company	300367	Agent - Casualty	10/28/2002	7/31/2012
Inactive	National Trust Insurance Company	300367	Agent - Property	10/28/2002	7/31/2012
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	7/31/2012
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	7/31/2012
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	5/8/2003	9/29/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Property	5/8/2003	9/29/2010
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	3/25/2004	7/31/2012
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	3/25/2004	7/31/2012
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	3/25/2004	7/31/2012
Inactive	Ohio Security Insurance Company	300622	Agent - Property	3/25/2004	7/31/2012
Inactive	Owners Insurance Company	300796	Agent - Casualty	8/14/2015	7/31/2018
Inactive	Owners Insurance Company	300796	Agent - Property	8/14/2015	7/31/2018
Inactive	Pacific Life & Annuity Company	300443	Agent - Health	9/10/1999	5/4/2006
Inactive	Pacific Life & Annuity Company	300443	Agent - Life	9/10/1999	5/4/2006
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007	7/31/2012
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007	7/31/2012
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007	7/31/2012
Inactive	Peerless Insurance Company	301910	Agent - Property	9/8/2007	7/31/2012
Inactive	Principal Life Insurance Company	300129	Agent - Health	10/30/1996	12/3/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	10/30/1996	12/3/2008
Inactive	Reliance Insurance Company	300785	Agent - Casualty	8/15/2000	6/5/2001
Inactive	Reliance Insurance Company	300785	Agent - General Lines	3/11/1993	8/15/2000
Inactive	Reliance Insurance Company	300785	Agent - Property	8/15/2000	6/5/2001
Inactive	Reliance National Indemnity Company	301939	Agent - General Lines	9/24/1997	8/15/2000
Inactive	Reliance Surety Company	301224	Agent - General Lines	9/24/1997	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008	7/31/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008	7/31/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008	7/31/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008	7/31/2012
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	8/29/2002	7/31/2012
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	8/29/2002	7/31/2012
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	8/29/2002	7/31/2012
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	8/29/2002	7/31/2012
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	8/29/2002	7/31/2012
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	8/29/2002	7/31/2012
Inactive	St. Paul Protective Insurance Company	301215	Agent - Casualty	8/29/2002	4/21/2003
Inactive	St. Paul Protective Insurance Company	301215	Agent - Property	8/29/2002	4/21/2003
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	9/1/1987	3/31/1996
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2000	3/3/2004
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	6/12/2000	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2000	3/3/2004
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	6/21/2009	8/22/2011
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	6/21/2009	8/22/2011
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	5/5/2005	10/30/2009
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	5/5/2005	10/30/2009
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	8/15/2000	5/13/2004
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	9/30/1987	8/15/2000
Inactive	Transcontinental Insurance Company	301731	Agent - Property	8/15/2000	5/13/2004
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/27/2015	11/17/2016
Inactive	Transportation Insurance Company	301575	Agent - General Lines	9/30/1987	8/15/2000
Inactive	Transportation Insurance Company	301575	Agent - Property	8/27/2015	11/17/2016
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - General Lines	1/29/1991	3/31/1996
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - General Lines	9/1/1987	3/31/1996
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	8/15/2000	7/31/2012
Inactive	Travelers Casualty and Surety Company	301067	Agent - General Lines	9/1/1987	8/15/2000
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	8/15/2000	7/31/2012
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - General Lines	1/28/1991	3/31/1996
Inactive	Travelers Commercial Insurance Company	301506	Agent - General Lines	1/24/1991	3/31/1996
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - General Lines	1/24/1991	3/31/1996
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	6/1/2007	8/21/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	6/1/2007	8/21/2012
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	8/24/2005	7/31/2012
Inactive	Trustgard Insurance Company	300104	Agent - Property	8/24/2005	7/31/2012
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	2/26/2001	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	2/26/2001	11/5/2008
Inactive	United Pacific Insurance Company	300538	Agent - General Lines	9/24/1997	8/15/2000
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	8/29/2002	7/31/2012
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	8/29/2002	7/31/2012
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	8/27/2015	11/17/2016
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	9/30/1987	8/15/2000
Inactive	Valley Forge Insurance Company	301052	Agent - Property	8/27/2015	11/17/2016
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Health	9/2/1987	12/26/2006
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	9/2/1987	12/26/2006
Inactive	West American Insurance Company	301112	Agent - Casualty	3/25/2004	7/31/2012
Inactive	West American Insurance Company	301112	Agent - Property	3/25/2004	7/31/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ben Byrne LLC	713104	Agent - Property	1/23/2018	7/31/2018
Inactive	Ben Byrne LLC	713104	Agent - Casualty	1/23/2018	7/31/2018
Inactive	Medlink Inc	400721	Agent - Life	12/13/2012	7/31/2014
Inactive	Medlink Inc	400721	Agent - Health	12/13/2012	7/31/2014
Inactive	Schmidt Insurance Agency Inc.	400978	Agent - General Lines	4/18/1990	8/15/2000
Denied	Schmidt Insurance Agency Inc.	400978	Agent - Life
Denied	Schmidt Insurance Agency Inc.	400978	Agent - Health
Inactive	Schmidt Insurance Agency Inc.	400978	Agent - Health Maintenance Organization	1/22/1993	3/1/2001
Inactive	Schmidt Insurance Agency Inc.	400978	Agent - Property	8/14/2015	12/11/2017
Inactive	Schmidt Insurance Agency Inc.	400978	Agent - Casualty	8/14/2015	12/11/2017