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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.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
03/15/2025
05/31/2025
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
Inactive
Dairyland Insurance Company
301370
Agent - Personal Lines
8/2/2023
7/2/2024
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
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