black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

LISA M. HEAD

PRODUCER NON-RESIDENT

License Number:
PRN296696
Status:
First Licensure:
10/24/2017
Cancel Date:
None

Mailing:
NEW HAVEN, CT 06519
Phone:
+1 (203) 676-2824
Fax:
+1 (203) 676-2824
Email:
lisa06519@yahoo.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/24/2017

Agency

Name Issue Date License Number Expiration Date Cancel Date
WILLIS TOWERS WATSON MIDWEST INC
09/20/2023 AGN36667 12/28/2023
WILLIS TOWERS WATSON MIDWEST INC
09/09/2024 AGN36667 12/31/2024
WILLIS TOWERS WATSON MIDWEST INC
10/10/2025 AGN36667

Employer

Name Issue Date License Number Expiration Date Cancel Date
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
10/31/2017 LHF250 07/17/2020
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
09/27/2021 LHF250 07/18/2024
STARMOUNT LIFE INSURANCE COMPANY
09/27/2021 LHD131525 07/18/2024
UNUM INSURANCE COMPANY
09/27/2021 LHD241 07/18/2024
UNUM LIFE INSURANCE COMPANY OF AMERICA
10/31/2017 LHD145 07/17/2020
UNUM LIFE INSURANCE COMPANY OF AMERICA
09/27/2021 LHD145 07/18/2024

Authority

Description Issue Date Termination Date Status
HEALTH 10/24/2017 Active
LIFE 10/24/2017 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2315894

Other Addresses

Address Type
118 BUTTON ST
NEW HAVEN, CT 06519-2141
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 12/02/2025 10:20:37 PM