DEPARTMENT OF INSURANCE

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
Active	Non Resident	Agent	Casualty	10/15/2007		10/31/2024
Active	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Country Mutual Insurance Company	301024	Agent - Casualty	1/1/2017
Active	Country Mutual Insurance Company	301024	Agent - Property	1/1/2017
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	11/12/2007
Active	Fireman's Fund Insurance Company	301423	Agent - Property	11/12/2007
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