DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burcham, Marilyn	DOIID	1192415	NAIC NPN	18592223

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/9/2022		10/31/2026
Active	Non Resident	Agent	Property	3/9/2022		10/31/2026
* 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	08/15/2024	10/31/2024	08/14/2024	08/14/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Progressive Direct Insurance Company	301379	Agent - Casualty	5/2/2023
Active	Progressive Direct Insurance Company	301379	Agent - Property	5/2/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	5/3/2023
Active	Progressive Advantage Agency , Inc.	518222	Agent - Property	5/3/2023
Active	Ttec Financial Services Management LLC	881063	Agent - Casualty	5/2/2023
Active	Ttec Financial Services Management LLC	881063	Agent - Property	5/2/2023