DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burghardt, Matthew J	DOIID	791008	NAIC NPN	3652128

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/12/2024		5/31/2026
Active	Non Resident	Agent	Life	9/11/2012		5/31/2026
Active	Non Resident	Agent	Property	11/12/2024		5/31/2026
Active	Non Resident	Agent	Health	9/11/2012		5/31/2026
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/2/2015	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/2/2015	12/10/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	9/25/2012	10/12/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	9/25/2012	10/12/2020
Active	Guardian Life Insurance Company of America	301316	Agent - Health	9/25/2012
Active	Guardian Life Insurance Company of America	301316	Agent - Life	9/25/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ameragroup Services Inc	791766	Agent - Life	6/10/2016	3/31/2018
Inactive	Ameragroup Services Inc	791766	Agent - Health	6/10/2016	3/31/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/2/2015	12/13/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/2/2015	12/13/2020