DEPARTMENT OF INSURANCE

Affiliations

Name	Burba, Carol Ann	DOIID	320957	NAIC NPN	7168197

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	11/25/2002		11/30/2026
Active	Resident	Agent	Health	11/25/2002		11/30/2026
Active	Resident	Agent	Casualty	8/19/2002		11/30/2026
Active	Resident	Agent	Property	8/19/2002		11/30/2026
Inactive	Resident	Agent	General Lines	11/22/1994	8/15/2000
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AmTrust Insurance Company	300179	Agent - Casualty	8/28/2003	12/13/2009
Inactive	AmTrust Insurance Company	300179	Agent - Property	8/28/2003	12/13/2009
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	6/30/2005	12/20/2019
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	5/21/1997	8/15/2000
Inactive	American Family Home Insurance Company	301817	Agent - Property	6/30/2005	12/20/2019
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/19/1997	12/17/1998
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/19/1997	12/17/1998
Inactive	American Franklin Life Insurance Company (The)	301025	Agent - Health	2/17/1995	3/31/1997
Inactive	American Franklin Life Insurance Company (The)	301025	Agent - Life	2/17/1995	3/31/1997
Inactive	American General Life Insurance Company	301585	Agent - Health	3/8/2005	12/20/2013
Inactive	American General Life Insurance Company	301585	Agent - Life	3/8/2005	12/20/2013
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	6/30/2005	12/20/2019
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	5/21/1997	8/15/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Property	6/30/2005	12/20/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/20/2005	12/20/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/20/2005	12/20/2019
Inactive	American National General Insurance Company	301944	Agent - Casualty	8/19/2002	6/15/2003
Inactive	American National General Insurance Company	301944	Agent - Property	8/19/2002	6/15/2003
Inactive	American National Insurance Company	301861	Agent - Health	12/5/2002	5/11/2004
Inactive	American National Insurance Company	301861	Agent - Life	12/5/2002	5/11/2004
Inactive	American National Property and Casualty Company	300392	Agent - Casualty	4/29/2002	7/1/2002
Inactive	American National Property and Casualty Company	300392	Agent - Property	4/29/2002	7/1/2002
Inactive	Assurance Company of America	300432	Agent - General Lines	12/28/1994	3/31/1996
Inactive	Centre Life Insurance Company	300341	Agent - Health	4/1/1997	3/31/1999
Active	Citizens Security Life Insurance Company	301257	Agent - Health	8/26/2005
Active	Citizens Security Life Insurance Company	301257	Agent - Life	8/26/2005
Inactive	Continental General Insurance Company	300691	Agent - Health	3/15/1995	3/31/1997
Inactive	Continental General Insurance Company	300691	Agent - Life	3/15/1995	3/31/1997
Inactive	Cotton States Life Insurance Company	300268	Agent - Life	1/22/1997	7/1/2002
Inactive	Cotton States Mutual Insurance Company	300269	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Cotton States Mutual Insurance Company	300269	Agent - General Lines	1/22/1997	8/15/2000
Inactive	Cotton States Mutual Insurance Company	300269	Agent - Property	8/15/2000	7/1/2002
Inactive	Encova Life Insurance Company	301818	Agent - Life	6/27/2005	10/25/2010
Inactive	Falls Lake National Insurance Company	301796	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Falls Lake National Insurance Company	301796	Agent - General Lines	7/1/1996	8/15/2000
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/31/2005	11/7/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - General Lines	2/12/1997	8/15/2000
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/31/2005	11/7/2008
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Foremost Signature Insurance Company	300140	Agent - General Lines	2/12/1997	8/15/2000
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	8/15/2000	7/1/2002
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Health	2/17/1995	3/31/1997
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Life	2/17/1995	3/31/1997
Inactive	Glatfelter Insurance Company	301640	Agent - General Lines	12/28/1994	3/31/1996
Inactive	Globe American Casualty Company	301033	Agent - General Lines	1/9/1995	12/1/1999
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/26/1995	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/26/1995	3/31/1997
Inactive	Great American Alliance Insurance Company	301247	Agent - General Lines	2/29/1996	3/31/1998
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Great American Insurance Company	301586	Agent - General Lines	5/16/1997	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	7/1/2002
Inactive	Great American Security Insurance Company	301228	Agent - General Lines	2/29/1996	3/31/1998
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	5/2/2005	11/6/2008
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	5/2/2005	11/6/2008
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	5/2/2005	11/6/2008
Inactive	GuideOne Insurance Company	301794	Agent - Property	5/2/2005	11/6/2008
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	5/2/2005	11/6/2008
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	5/2/2005	11/6/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	6/17/2003	11/7/2007
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	6/17/2003	11/7/2007
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	6/17/2003	11/6/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	6/17/2003	11/6/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	6/17/2003	11/6/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	6/17/2003	11/6/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	6/17/2003	11/6/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	6/17/2003	11/6/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	6/17/2003	11/6/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	6/17/2003	11/6/2009
Inactive	Infinity Casualty Insurance Company	301280	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	7/1/1996	8/15/2000
Inactive	Integon National Insurance Company	301600	Agent - General Lines	11/22/1994	10/30/1997
Inactive	Jackson National Life Insurance Company	300486	Agent - Health	11/22/1995	5/19/1999
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	11/22/1995	5/19/1999
Inactive	Kansas City Life Insurance Company	301444	Agent - Health	5/26/2005	1/27/2009
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	5/26/2005	1/27/2009
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	6/5/1995	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	7/1/2002
Inactive	Life Insurance Company of Alabama	301439	Agent - Health	3/24/1997	7/1/2002
Inactive	Life Insurance Company of Alabama	301439	Agent - Life	3/24/1997	7/1/2002
Inactive	Maryland Casualty Company	301719	Agent - General Lines	12/28/1994	3/31/1996
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/16/2007	11/1/2010
Inactive	National Insurance Association	301386	Agent - General Lines	12/6/1994	12/1/1999
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	4/29/1997	7/1/2002
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	4/29/1997	7/1/2002
Inactive	Northern Insurance Company of New York	301317	Agent - General Lines	12/28/1994	3/31/1996
Inactive	Ohio State Life Insurance Company (The)	300865	Agent - Health	11/29/1994	4/21/1997
Inactive	Ohio State Life Insurance Company (The)	300865	Agent - Life	11/29/1994	4/21/1997
Inactive	Old American Insurance Company	300762	Agent - Life	6/8/2006	4/13/2007
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	4/8/2002	7/1/2002
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	4/8/2002	7/1/2002
Inactive	Old Republic Life Insurance Company	301214	Agent - Health	3/27/1997	11/26/2001
Inactive	Old Republic Life Insurance Company	301214	Agent - Life	3/27/1997	11/26/2001
Inactive	Omni Indemnity Company	301456	Agent - Casualty	6/17/2003	10/8/2009
Inactive	Omni Indemnity Company	301456	Agent - Property	6/17/2003	10/8/2009
Inactive	Omni Insurance Company	301545	Agent - General Lines	12/7/1994	4/28/1997
Inactive	Permanent General Assurance Corporation	300883	Agent - General Lines	9/19/1995	3/31/2000
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	5/31/2005	6/15/2009
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	5/31/2005	6/15/2009
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	11/30/2000	7/1/2002
Inactive	Progressive Max Insurance Company	301034	Agent - Property	11/30/2000	7/1/2002
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	5/31/2005	6/15/2009
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	5/31/2005	6/15/2009
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	11/30/2000	7/1/2002
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	11/30/2000	7/1/2002
Inactive	Security National Insurance Company	301151	Agent - Casualty	8/28/2003	12/13/2009
Inactive	Security National Insurance Company	301151	Agent - Property	8/28/2003	12/13/2009
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	1/17/2005	11/6/2009
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	1/17/2005	11/6/2009
Inactive	Shield Insurance Company	300992	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Shield Insurance Company	300992	Agent - General Lines	10/7/1998	8/15/2000
Inactive	Shield Insurance Company	300992	Agent - Property	8/15/2000	7/1/2002
Inactive	Sterling Investors Life Insurance Company	301785	Agent - Health	10/2/2006	12/27/2006
Inactive	Sterling Investors Life Insurance Company	301785	Agent - Life	10/2/2006	12/27/2006
Inactive	Time Insurance Company	300683	Agent - Health	11/2/1999	8/21/2001
Inactive	Time Insurance Company	300683	Agent - Life	11/2/1999	8/21/2001
Inactive	Trinity Universal Insurance Company	300911	Agent - Casualty	8/28/2003	5/5/2009
Inactive	Trinity Universal Insurance Company	300911	Agent - Property	8/28/2003	5/5/2009
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	6/17/2003	11/5/2008
Inactive	Trumbull Insurance Company	300242	Agent - Property	6/17/2003	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	6/17/2003	11/6/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	6/17/2003	11/6/2009
Inactive	United American Insurance Company	300910	Agent - Health	3/12/1997	8/4/1997
Inactive	United American Insurance Company	300910	Agent - Life	3/12/1997	8/4/1997
Inactive	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005	6/15/2009
Inactive	United Financial Casualty Company	301886	Agent - Property	12/2/2005	6/15/2009
Inactive	United World Life Insurance Company	300532	Agent - Health	7/16/2007	11/1/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/16/2007	11/1/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/16/2007	11/1/2010
Inactive	Windhaven National Insurance Company	300094	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Windhaven National Insurance Company	300094	Agent - General Lines	6/7/1996	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	3/3/2000	7/1/2002
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	3/3/2000	7/1/2002
Active	Career General Agency Inc.	399050	Agent - Life	5/31/2005
Active	Career General Agency Inc.	399050	Agent - Health	5/31/2005
Inactive	Career General Agency Inc.	399050	Agent - Property	5/31/2005	12/20/2019
Inactive	Career General Agency Inc.	399050	Agent - Casualty	5/31/2005	12/20/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/27/2008	11/11/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/27/2008	11/11/2024
Inactive	Wilson & Manley Associates, Inc.	547663	Agent - Property	4/8/2002	7/1/2002
Inactive	Wilson & Manley Associates, Inc.	547663	Agent - Casualty	4/8/2002	7/1/2002