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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2026	07/31/2026

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