DEPARTMENT OF INSURANCE

Affiliations

Name	Head III, Carl Thomas	DOIID	898012	NAIC NPN	17769228

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	7/31/2017	5/31/2025
Active	Resident	Agent	Property	7/31/2017	5/31/2025
* 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
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	10/28/2019
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	10/28/2019
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	12/14/2015	6/1/2017
Inactive	American Fire and Casualty Company	300567	Agent - Property	12/14/2015	6/1/2017
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	10/22/2019
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	10/22/2019
Active	American Zurich Insurance Company	300592	Agent - Casualty	10/22/2019
Active	American Zurich Insurance Company	300592	Agent - Property	10/22/2019
Active	Amerisure Insurance Company	300298	Agent - Casualty	1/10/2022
Active	Amerisure Insurance Company	300298	Agent - Property	1/10/2022
Active	Amerisure Mutual Insurance Company	301576	Agent - Casualty	1/10/2022
Active	Amerisure Mutual Insurance Company	301576	Agent - Property	1/10/2022
Active	Amerisure Partners Insurance Company	760791	Agent - Casualty	1/10/2022
Active	Amerisure Partners Insurance Company	760791	Agent - Property	1/10/2022
Active	Ansur America Insurance Company	520667	Agent - Casualty	11/12/2019
Active	Ansur America Insurance Company	520667	Agent - Property	11/12/2019
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	12/21/2016	6/1/2017
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	12/21/2016	6/1/2017
Active	BITCO General Insurance Corporation	301305	Agent - Casualty	8/3/2017
Active	BITCO General Insurance Corporation	301305	Agent - Property	8/3/2017
Active	BITCO National Insurance Company	301366	Agent - Casualty	8/3/2017
Active	BITCO National Insurance Company	301366	Agent - Property	8/3/2017
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	10/28/2019
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	10/28/2019
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	10/28/2019
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	10/28/2019
Active	Cincinnati Insurance Company	301298	Agent - Casualty	10/28/2019
Active	Cincinnati Insurance Company	301298	Agent - Property	10/28/2019
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	12/14/2015	6/1/2017
Inactive	Consolidated Insurance Company	300943	Agent - Property	12/14/2015	6/1/2017
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	8/10/2020
Active	Employers Insurance Company of Wausau	301813	Agent - Property	8/10/2020
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	8/10/2020
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	8/10/2020
Active	Frankenmuth Insurance Company	301481	Agent - Casualty	11/12/2019
Active	Frankenmuth Insurance Company	301481	Agent - Property	11/12/2019
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	10/29/2019
Active	Grange Indemnity Insurance Company	300793	Agent - Property	10/29/2019
Active	Grange Insurance Company	300234	Agent - Casualty	10/29/2019
Active	Grange Insurance Company	300234	Agent - Property	10/29/2019
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	10/29/2019
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	10/29/2019
Active	Great West Casualty Company	301015	Agent - Casualty	9/7/2022
Active	Great West Casualty Company	301015	Agent - Property	9/7/2022
Inactive	Indiana Insurance Company	301909	Agent - Casualty	12/14/2015	6/1/2017
Inactive	Indiana Insurance Company	301909	Agent - Property	12/14/2015	6/1/2017
Active	LM Insurance Corporation	301061	Agent - Casualty	8/10/2020
Active	LM Insurance Corporation	301061	Agent - Property	8/10/2020
Active	Liberty Insurance Corporation	300444	Agent - Casualty	8/10/2020
Active	Liberty Insurance Corporation	300444	Agent - Property	8/10/2020
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	8/10/2020
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	8/10/2020
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	12/14/2015	6/1/2017
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	12/14/2015	6/1/2017
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	12/14/2015	6/1/2017
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	12/14/2015	6/1/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	12/14/2015	6/1/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Property	12/14/2015	6/1/2017
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/2/2021	6/11/2021
Inactive	Owners Insurance Company	300796	Agent - Casualty	12/21/2016	6/1/2017
Inactive	Owners Insurance Company	300796	Agent - Property	12/21/2016	6/1/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	12/14/2015	6/1/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	12/14/2015	6/1/2017
Inactive	Peerless Insurance Company	301910	Agent - Casualty	12/14/2015	6/1/2017
Inactive	Peerless Insurance Company	301910	Agent - Property	12/14/2015	6/1/2017
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	10/22/2019
Active	Progressive Casualty Insurance Company	300696	Agent - Property	10/22/2019
Active	Trustgard Insurance Company	300104	Agent - Casualty	10/29/2019
Active	Trustgard Insurance Company	300104	Agent - Property	10/29/2019
Active	United Financial Casualty Company	301886	Agent - Casualty	10/22/2019
Active	United Financial Casualty Company	301886	Agent - Property	10/22/2019
Inactive	West American Insurance Company	301112	Agent - Casualty	12/14/2015	6/1/2017
Inactive	West American Insurance Company	301112	Agent - Property	12/14/2015	6/1/2017
Active	West Bend Insurance Company	672974	Agent - Casualty	10/23/2019
Active	West Bend Insurance Company	672974	Agent - Property	10/23/2019
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/2/2021	6/11/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	10/31/2019
Active	Westfield Insurance Company	301950	Agent - Property	10/31/2019
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/2/2021	6/11/2021
Active	Zurich American Insurance Company	301121	Agent - Casualty	10/22/2019
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	10/22/2019
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	10/22/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ben Byrne LLC	713104	Agent - Casualty	10/18/2017
Active	Ben Byrne LLC	713104	Agent - Property	10/18/2017
Inactive	Curneal & Hignite Insurance Inc.	400370	Agent - Casualty	10/21/2019	3/31/2022
Active	Houchens Insurance Group, Inc.	637099	Agent - Casualty	1/25/2022
Active	Houchens Insurance Group, Inc.	637099	Agent - Property	1/25/2022
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	2/6/2019	12/31/2019
Inactive	Usi Insurance Services LLC	669260	Agent - Property	2/6/2019	12/31/2019