DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Head III, John Joseph	DOIID	665256	NAIC NPN	6995721

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/15/2007	10/31/2024
Inactive	Non Resident	Agent	Property	10/15/2007	10/31/2024
* 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	Country Mutual Insurance Company	301024	Agent - Casualty	1/1/2017	10/31/2024
Inactive	Country Mutual Insurance Company	301024	Agent - Property	1/1/2017	10/31/2024
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	11/12/2007	10/31/2024
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	11/12/2007	10/31/2024
Inactive	Middlesex Mutual Assurance Company	569442	Agent - Casualty	11/21/2014	12/31/2016
Inactive	Middlesex Mutual Assurance Company	569442	Agent - Property	11/21/2014	12/31/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Risk Placement Services Inc	509419	Agent - Property	2/25/2008	4/22/2024
Inactive	Risk Placement Services Inc	509419	Agent - Casualty	2/25/2008	4/22/2024