DEPARTMENT OF INSURANCE
Affiliations
NameBurgett, Shannon DOIID1040222NAIC NPN10315942
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife5/14/201910/31/2024 
InactiveNon ResidentAgentHealth5/14/201910/31/2024 
InactiveNon ResidentAgentVariable Life and Variable Annuities5/14/201910/31/2024 
InactiveNon ResidentAgentCasualty3/16/202310/31/2024 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Life4/7/202310/31/2024
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities4/7/202310/31/2024
InactiveBrighthouse Life Insurance Company301829Agent - Health6/9/20237/2/2024
InactiveBrighthouse Life Insurance Company301829Agent - Life6/9/20237/2/2024
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities6/9/20237/2/2024
InactiveFidelity Investments Life Insurance Company300620Agent - Life5/16/20191/4/2023
InactiveFidelity Investments Life Insurance Company300620Agent - Variable Life and Variable Annuities5/16/20191/4/2023
InactiveUSAA Life Insurance Company300734Agent - Life9/8/201910/31/2024
InactiveUSAA Life Insurance Company300734Agent - Variable Life and Variable Annuities9/8/201910/31/2024
InactiveWestern-Southern Life Assurance Company301590Agent - Life5/20/20191/9/2023
InactiveWestern-Southern Life Assurance Company301590Agent - Variable Life and Variable Annuities5/20/20191/9/2023
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFidelity Insurance Agency Inc.400221Agent - Life5/21/201910/31/2024
DeniedFidelity Insurance Agency Inc.400221Agent - Health  
InactiveFidelity Insurance Agency Inc.400221Agent - Variable Life and Variable Annuities5/21/201910/31/2024

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