DEPARTMENT OF INSURANCE

Affiliations

Name	Burt, Roger L	DOIID	332156	NAIC NPN	7179843

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	8/13/1990	7/1/2002
Inactive	Resident	Agent	Health	3/31/1988	7/1/2002
* 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	American Heritage Life Insurance Company	300272	Agent - Health	5/20/1997	7/1/2002
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	5/20/1997	7/1/2002
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	1/29/1996	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	1/29/1996	3/31/1997
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/6/2000	7/1/2002
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/6/2000	7/1/2002
Inactive	Conseco Insurance Company	301202	Agent - Life	6/23/2000	7/1/2002
Inactive	Continental Casualty Company	301019	Agent - Health	3/31/1988	7/1/2002
Inactive	Humana Insurance Company	301104	Agent - Health	6/11/1991	3/2/1999
Inactive	Humana Insurance Company	301104	Agent - Life	6/11/1991	3/2/1999
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	9/4/1990	12/28/1998
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	9/4/1990	12/28/1998
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	12/1/1998	10/29/2001
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	12/1/1998	10/29/2001
Inactive	LifeUSA Insurance Company	300386	Agent - Life	8/13/1990	3/6/1996
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	8/19/1991	3/31/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	8/19/1991	3/31/1999
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	4/1/1993	7/1/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	4/1/1993	7/1/2002
Inactive	Principal Life Insurance Company	300129	Agent - Health	12/13/1990	7/1/2002
Inactive	Principal Life Insurance Company	300129	Agent - Life	12/13/1990	7/1/2002
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	3/28/2001	7/1/2002
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	3/28/2001	7/1/2002
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	11/8/2000	7/1/2002
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/8/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/8/1995	3/31/1997
Inactive	Wilco Life Insurance Company	300122	Agent - Life	6/14/2000	7/1/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	B & B Insurance Agency Inc.	400405	Agent - Health	10/19/1995	7/1/2002
Inactive	B & B Insurance Agency Inc.	400405	Agent - Life	10/19/1995	7/1/2002
Inactive	Federated Marketing Inc	399197	Agent - Health	12/2/1993	7/1/2002
Inactive	Federated Marketing Inc	399197	Agent - Life	12/2/1993	7/1/2002