DEPARTMENT OF INSURANCE

Affiliations

Name	Daniels/Head Insurance Agency Inc.	DOIID	399585	NAIC NPN	7221781

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	5/28/1999	11/1/2000
Inactive	Resident	Agent	Life	5/28/1999	11/1/2000
Inactive	Resident	Agent	Casualty	8/15/2000	9/26/2012
Inactive	Resident	Agent	General Lines	2/1/1996	8/15/2000
Inactive	Resident	Agent	Health	5/28/1999	11/1/2000
Inactive	Resident	Agent	Property	8/15/2000	9/26/2012
* 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 Guarantee and Liability Insurance Company	301216	Agent - Casualty	10/5/2000	9/26/2012
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	10/5/2000	9/26/2012
Inactive	American Manufacturers Mutual Insurance Company	301807	Agent - Casualty	8/15/2000	5/31/2003
Inactive	American Manufacturers Mutual Insurance Company	301807	Agent - General Lines	2/19/1999	8/15/2000
Inactive	American Manufacturers Mutual Insurance Company	301807	Agent - Property	8/15/2000	5/31/2003
Inactive	American Motorists Insurance Company	301212	Agent - Casualty	8/15/2000	5/31/2003
Inactive	American Motorists Insurance Company	301212	Agent - General Lines	2/19/1999	8/15/2000
Inactive	American Motorists Insurance Company	301212	Agent - Property	8/15/2000	5/31/2003
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	10/5/2000	9/26/2012
Inactive	American Zurich Insurance Company	300592	Agent - Property	10/5/2000	9/26/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	5/28/1999	11/1/2000
Inactive	Humana Insurance Company	301104	Agent - Health	5/28/1999	11/1/2000
Inactive	Humana Insurance Company	301104	Agent - Life	5/28/1999	11/1/2000
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - Casualty	8/15/2000	5/31/2003
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - General Lines	2/19/1999	8/15/2000
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - Property	8/15/2000	5/31/2003
Inactive	MEDMARC Casualty Insurance Company	301619	Agent - Casualty	2/7/2002	11/4/2009
Inactive	Western Surety Company	300283	Agent - Casualty	1/3/2003	12/8/2011
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	8/15/2000	9/26/2012
Inactive	Zurich American Insurance Company	301121	Agent - General Lines	2/1/1996	8/15/2000
Inactive	Zurich American Insurance Company	301121	Agent - Property	8/15/2000	9/26/2012
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	10/5/2000	9/26/2012
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	10/5/2000	9/26/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cooper, Deborah Kay	313690	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Cooper, Deborah Kay	313690	Agent - General Lines	2/1/1996	8/15/2000
Inactive	Cooper, Deborah Kay	313690	Agent - Health	5/28/1999	7/1/2002
Inactive	Cooper, Deborah Kay	313690	Agent - Life	5/28/1999	7/1/2002
Inactive	Cooper, Deborah Kay	313690	Agent - Property	8/15/2000	7/1/2002
Inactive	Copp, Christopher F	320530	Agent - Casualty	1/25/2005	9/26/2012
Inactive	Copp, Christopher F	320530	Agent - Property	1/25/2005	9/26/2012
Inactive	Cornwell, Terri L	515153	Agent - Casualty	1/25/2005	9/26/2012
Inactive	Cornwell, Terri L	515153	Agent - Property	1/25/2005	9/26/2012
Inactive	Hall, Linda Kay	557658	Agent - Casualty	1/25/2005	9/26/2012
Inactive	Hall, Linda Kay	557658	Agent - Property	1/25/2005	9/26/2012
Inactive	McIntire, Richard Eugene	537080	Agent - Casualty	12/11/2001	7/24/2012
Inactive	McIntire, Richard Eugene	537080	Agent - Property	12/11/2001	7/24/2012
Inactive	Salmons, Debra Lynn	523350	Agent - Casualty	1/25/2005	9/26/2012
Inactive	Salmons, Debra Lynn	523350	Agent - Property	1/25/2005	9/26/2012
Inactive	Sammons, Lea Anne	523351	Agent - Casualty	1/25/2005	8/15/2012
Inactive	Sammons, Lea Anne	523351	Agent - Property	1/25/2005	8/15/2012
Inactive	Stevens, Barbara Jean	515094	Agent - Casualty	1/25/2005	10/20/2008
Inactive	Stevens, Barbara Jean	515094	Agent - Property	1/25/2005	10/20/2008