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	Health	11/25/2002		11/30/2024
Active	Resident	Agent	Casualty	8/19/2002		11/30/2024
Active	Resident	Agent	Life	11/25/2002		11/30/2024
Active	Resident	Agent	Property	8/19/2002		11/30/2024
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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2024	11/30/2024

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
Active	Designated Agent Company Inc.	681257	Agent - Life	6/27/2008
Active	Designated Agent Company Inc.	681257	Agent - Health	6/27/2008
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