DEPARTMENT OF INSURANCE
Affiliations
NameBurnett, Michael DDOIID332107NAIC NPN7179758
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentGeneral Lines2/25/19917/1/1996 
InactiveResidentAgentCredit Life & Health9/25/19865/8/1997 
* 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
InactiveACE American Insurance Company300625Agent - General Lines4/23/19917/1/1996
InactiveACE Fire Underwriters Insurance Company301679Agent - General Lines4/23/19917/1/1996
InactiveACE Property and Casualty Insurance Company300520Agent - General Lines4/23/19917/1/1996
InactiveAIU Insurance Company300729Agent - General Lines10/8/19913/31/1996
InactiveAmerican Home Assurance Company300246Agent - General Lines4/1/19917/1/1996
InactiveBankers Standard Insurance Company301620Agent - General Lines3/22/19957/1/1996
InactiveCentury Indemnity Company301310Agent - General Lines4/23/19917/1/1996
InactiveCommerce and Industry Insurance Company300881Agent - General Lines4/1/19913/31/1996
InactiveGranite State Insurance Company300818Agent - General Lines10/8/19913/31/1996
InactiveHartford Accident and Indemnity Company301917Agent - General Lines2/25/19917/1/1996
InactiveHartford Casualty Insurance Company301332Agent - General Lines2/25/19917/1/1996
InactiveHartford Fire Insurance Company300628Agent - General Lines2/25/19917/1/1996
InactiveHartford Insurance Company of the Midwest301918Agent - General Lines2/25/19917/1/1996
InactiveHartford Underwriters Insurance Company301064Agent - General Lines2/25/19917/1/1996
InactiveIllinois National Insurance Company301367Agent - General Lines10/8/19913/31/1996
InactiveIndemnity Insurance Company of North America301760Agent - General Lines4/23/19917/1/1996
InactiveInsurance Company of North America300226Agent - General Lines4/23/19917/1/1996
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - General Lines4/1/19913/31/1996
InactiveNew Hampshire Insurance Company301670Agent - General Lines10/8/19913/31/1996
InactivePacific Employers Insurance Company301753Agent - General Lines4/23/19917/1/1996
InactiveReliance Insurance Company300785Agent - General Lines3/22/19917/1/1996
InactiveTransamerica Premier Life Insurance Company300558Agent - Credit Life & Health9/25/19865/5/1997
InactiveTwin City Fire Insurance Company300721Agent - General Lines2/25/19917/1/1996
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveChurchill Insurance Agency Inc.400358Agent - Credit Life & Health1/8/19875/8/1997

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