DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burch, Thomas	DOIID	1048284	NAIC NPN	19226921

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	7/23/2019		5/31/2025
Inactive	Non Resident	Staff Adjuster	Property & Casualty	10/15/2021	5/31/2023
* 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
Inactive	Bristol West Insurance Company	301655	Agent - Personal Lines	1/27/2023	12/8/2023
Active	Dairyland Insurance Company	301370	Agent - Personal Lines	8/2/2023
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Personal Lines	7/26/2019	8/16/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Personal Lines	1/27/2023	12/8/2023
Inactive	LM General Insurance Company	300133	Agent - Personal Lines	7/26/2019	8/16/2021
Inactive	LM Insurance Corporation	301061	Agent - Personal Lines	7/26/2019	8/16/2021
Inactive	Liberty Insurance Corporation	300444	Agent - Personal Lines	7/26/2019	8/16/2021
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Personal Lines	7/26/2019	8/16/2021
Inactive	Liberty Mutual Insurance Company	301159	Agent - Personal Lines	7/26/2019	8/16/2021
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Personal Lines	7/26/2019	8/16/2021
Inactive	SAFECO Insurance Company of America	300159	Agent - Personal Lines	4/15/2020	8/16/2021
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Personal Lines	4/15/2020	8/16/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Breathe Easy Insurance Solutions, LLC	1056193	Agent - Personal Lines	9/5/2023	1/12/2024