DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burgett, Vikki	DOIID	323907	NAIC NPN	684792

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/24/2011	3/31/2013
Inactive	Non Resident	Agent	Health	2/24/2011	3/31/2013
Inactive	Non Resident	Agent	Personal Lines	2/24/2011	3/31/2013
* 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	Peoples Benefit Life Insurance Company	301895	Agent - Health	12/2/1996	10/6/1998
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	12/2/1996	10/6/1998
Inactive	Travelers Indemnity Company (The)	301855	Agent - Personal Lines	7/5/2011	5/1/2013
Inactive	Veterans Life Insurance Company	300589	Agent - Health	12/2/1996	10/6/1998
Inactive	Veterans Life Insurance Company	300589	Agent - Life	12/2/1996	10/6/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Seabury & Smith Inc	394854	Agent - Life
Denied	Seabury & Smith Inc	394854	Agent - Health
Inactive	Seabury & Smith Inc	394854	Agent - Personal Lines	7/18/2011	3/31/2013