DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burkholder, Thomas	DOIID	1418361	NAIC NPN	7818759

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/25/2025		3/31/2028
Active	Non Resident	Agent	Health	8/25/2025		3/31/2028
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Fidelity Health Insurance Services LLC	887889	Agent - Life
Pending	Fidelity Health Insurance Services LLC	887889	Agent - Health
Pending	Fidelity Insurance Agency Inc.	400221	Agent - Life
Pending	Fidelity Insurance Agency Inc.	400221	Agent - Health