DEPARTMENT OF INSURANCE

Affiliations

Name	Head, James William	DOIID	709168	NAIC NPN	14387513

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	8/24/2009	8/1/2011
Inactive	Resident	Agent	Property	7/17/2009	8/1/2011
Inactive	Resident	Agent	Casualty	7/16/2009	8/1/2011
Inactive	Resident	Agent	Health	8/21/2009	8/1/2011
* 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	Dental Concern Inc. (The)	301641	Agent - Health	10/11/2009	8/1/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/11/2009	8/1/2011
Inactive	Humana Insurance Company	301104	Agent - Health	10/11/2009	8/1/2011
Inactive	Humana Insurance Company	301104	Agent - Life	10/11/2009	8/1/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/11/2009	8/1/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/11/2009	8/1/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/11/2009	8/1/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/11/2009	8/1/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/11/2009	8/1/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/11/2009	8/1/2011
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	7/27/2009	8/1/2011
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	7/27/2009	8/1/2011
Inactive	Nationwide General Insurance Company	300603	Agent - Property	7/27/2009	8/1/2011
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	4/1/2011	8/1/2011
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	4/1/2011	8/1/2011
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	8/24/2009	8/1/2011
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	8/24/2009	8/1/2011
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	8/24/2009	8/1/2011
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	7/27/2009	8/1/2011
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	7/27/2009	8/1/2011
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	7/27/2009	8/1/2011
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	7/27/2009	8/1/2011
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	7/27/2009	8/1/2011
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	7/27/2009	8/1/2011
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	7/27/2009	8/1/2011
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	7/27/2009	8/1/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Life	9/11/2009	8/1/2011
Inactive	Medlink Inc	400721	Agent - Health	9/11/2009	8/1/2011