PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameBurgett, Michael TDOIID306167NAIC NPN7158380
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife8/9/19947/1/2002 
InactiveResidentAgentHealth8/9/19947/1/2002 
InactiveResidentAgentGeneral Lines2/3/19958/15/2000 
* 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
InactiveAllianz Life Insurance Company of North America301791Agent - Health5/15/19963/1/2002
InactiveAllianz Life Insurance Company of North America301791Agent - Life5/15/19963/1/2002
InactiveAnthem Life Insurance Company301209Agent - Health4/24/19987/1/2002
InactiveAnthem Life Insurance Company301209Agent - Life4/24/19987/1/2002
InactiveChase Insurance Life and Annuity Company300518Agent - Health5/8/19967/1/2002
InactiveChase Insurance Life and Annuity Company300518Agent - Life5/8/19967/1/2002
InactiveConseco Health Insurance Company301725Agent - Health9/6/20007/1/2002
InactiveConseco Health Insurance Company301725Agent - Life9/6/20007/1/2002
InactiveFidelity Security Life Insurance Company300466Agent - Health12/23/199612/28/1998
InactiveFidelity Security Life Insurance Company300466Agent - Life12/23/199612/28/1998
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life12/30/19967/1/2002
InactiveGrange Indemnity Insurance Company300793Agent - General Lines11/13/19978/15/2000
InactiveGrange Insurance Company300234Agent - General Lines4/25/19968/15/2000
InactiveGrange Life Insurance Company300128Agent - Health4/22/19969/28/2000
InactiveGrange Life Insurance Company300128Agent - Life4/22/19969/28/2000
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Health1/22/19977/1/2002
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life1/22/19972/8/2001
InactiveIllinois Mutual Life Insurance Company301479Agent - Health7/13/19987/20/2000
InactiveIllinois Mutual Life Insurance Company301479Agent - Life7/13/19987/20/2000
InactiveJackson National Life Insurance Company300486Agent - Health5/16/19967/1/2002
InactiveJackson National Life Insurance Company300486Agent - Life5/16/19967/1/2002
InactiveLM General Insurance Company300133Agent - General Lines2/9/19954/12/1996
InactiveLM Property and Casualty Insurance Company301658Agent - General Lines2/3/19954/12/1996
InactiveLifeUSA Insurance Company300386Agent - Health5/15/19963/1/2002
InactiveLifeUSA Insurance Company300386Agent - Life5/15/19963/1/2002
InactiveLincoln Benefit Life Company301110Agent - Life10/2/19967/1/2002
InactiveLincoln National Life Insurance Company (The)301382Agent - Health5/9/20027/1/2002
InactiveLincoln National Life Insurance Company (The)301382Agent - Life5/9/20027/1/2002
InactiveMassMutual Ascend Life Insurance Company300320Agent - Health5/7/20027/1/2002
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life5/7/20027/1/2002
InactiveNassau Life Insurance Company301406Agent - Health5/31/199612/30/1998
InactiveNassau Life Insurance Company301406Agent - Life5/31/199612/30/1998
InactiveNational Western Life Insurance Company301515Agent - Health4/22/19968/2/1999
InactiveNational Western Life Insurance Company301515Agent - Life4/22/19968/2/1999
InactiveNationwide Life Insurance Company300495Agent - Health12/4/19965/23/2000
InactiveNationwide Life Insurance Company300495Agent - Life12/4/19965/23/2000
InactivePioneer Life Insurance Company300110Agent - Health7/17/19977/1/2002
InactivePioneer Life Insurance Company300110Agent - Life7/17/19977/1/2002
InactivePruco Life Insurance Company300954Agent - Life10/17/19944/12/1996
InactivePrudential Insurance Company of America300784Agent - Health8/9/19944/12/1996
InactivePrudential Insurance Company of America300784Agent - Life8/9/19944/12/1996
InactiveReliaStar Life Insurance Company301712Agent - Health3/24/19976/25/2001
InactiveReliaStar Life Insurance Company301712Agent - Life3/24/19976/25/2001
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health5/1/199610/15/1996
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life5/1/199610/15/1996
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Health5/31/199612/10/1998
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Life5/31/199612/10/1998
InactiveTalcott Resolution Life Insurance Company301759Agent - Health12/17/19967/1/2002
InactiveTalcott Resolution Life Insurance Company301759Agent - Life12/17/19967/1/2002
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health12/17/19967/1/2002
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life12/17/19967/1/2002
InactiveTime Insurance Company300683Agent - Health5/13/19963/31/1997
InactiveTime Insurance Company300683Agent - Life5/13/19963/31/1997
InactiveUNUM Life Insurance Company of America300817Agent - Health12/8/19987/1/2002
InactiveUNUM Life Insurance Company of America300817Agent - Life12/8/19987/1/2002
InactiveUnion Security Insurance Company301844Agent - Health12/17/19967/1/2002
InactiveUnion Security Insurance Company301844Agent - Life12/17/19967/1/2002
InactiveWoodmen Accident and Life Company300147Agent - Health9/17/19965/30/1997
InactiveWoodmen Accident and Life Company300147Agent - Life9/17/19965/30/1997
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcordia of Lexington Inc.401285Agent - Life7/25/199712/10/2001
InactiveAcordia of Lexington Inc.401285Agent - Health7/25/199712/10/2001
InactiveArison Insurance Services, Inc.401001Agent - Life5/14/19987/1/2002
InactiveArison Insurance Services, Inc.401001Agent - Health5/14/19987/1/2002
InactiveDonahue Securities Inc.398694Agent - Life2/11/19977/1/2002

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