DEPARTMENT OF INSURANCE
Affiliations
NameBroughton, Burl ChaliseDOIID304928NAIC NPN7157832
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentGeneral Lines12/12/19728/24/1998 
InactiveResidentAgentHealth12/12/19728/24/1998 
InactiveResidentAgentLife12/12/19728/24/1998 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAgri General Insurance Company300914Agent - General Lines6/21/19943/31/1998
InactiveAnthem Insurance Companies, Inc.300941Agent - Health12/12/19723/31/1998
InactiveAnthem Life Insurance Company301209Agent - Health4/13/19938/24/1998
InactiveAnthem Life Insurance Company301209Agent - Life4/13/19938/24/1998
InactiveFB Insurance Company (The)301763Agent - General Lines12/12/19727/7/1998
InactiveKentucky Farm Bureau Mutual Insurance Company300570Agent - General Lines12/12/19727/7/1998
InactiveSouthern Farm Bureau Life Insurance Company300909Agent - Health12/12/19727/7/1998
InactiveSouthern Farm Bureau Life Insurance Company300909Agent - Life12/12/19727/7/1998
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveKentucky Farm Bureau Insurance Agency LLC399619Agent - General Lines8/15/19888/24/1998
InactiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Life8/15/19888/24/1998
InactiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Health8/15/19888/24/1998

© Commonwealth of Kentucky. All rights reserved.