DEPARTMENT OF INSURANCE

Affiliations

Name	Burchett, Jack Oakley	DOIID	336930	NAIC NPN	7185716

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	10/27/2021		7/31/2025
Active	Resident	Agent	Casualty	10/27/2021		7/31/2025
Inactive	Resident	Agent	General Lines	6/27/1997	8/15/2000
Inactive	Resident	Agent	Health	9/7/1989	8/1/2013
Inactive	Resident	Agent	Credit Life & Health	1/27/1995	1/16/2002
Inactive	Resident	Agent	Life	9/7/1989	8/1/2013
Inactive	Resident	Agent	Limited Line Credit	12/19/2000	7/31/2013
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	4/9/1997	10/19/1998
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	4/9/1997	10/19/1998
Inactive	American General Assurance Company	300586	Agent - Health	7/16/2001	3/28/2007
Inactive	American General Assurance Company	300586	Agent - Life	7/16/2001	3/28/2007
Inactive	American General Assurance Company	300586	Agent - Limited Line Credit	7/16/2001	3/28/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/27/1993	8/2/1999
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/27/1993	8/2/1999
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	6/30/2006	8/1/2013
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	6/30/2006	8/1/2013
Inactive	Augustar Life Insurance Company	301816	Agent - Life	4/2/2003	3/15/2006
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	4/9/2003	11/19/2007
Inactive	Everlake Life Insurance Company	300873	Agent - Life	9/16/2003	11/12/2007
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Health	2/24/1993	4/5/1996
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Life	2/24/1993	4/5/1996
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Life	9/16/2003	1/1/2005
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	1/25/1995	3/31/1997
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	1/25/1995	3/31/1997
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	7/10/1997	8/1/2013
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	7/10/1997	8/1/2013
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	2/15/1999	12/18/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	2/15/1999	12/18/2000
Inactive	Liberty Life Insurance Company	301542	Agent - Health	4/1/1997	6/30/2006
Inactive	Liberty Life Insurance Company	301542	Agent - Life	4/1/1997	6/30/2006
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	10/3/2003	11/13/2007
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	10/3/2003	11/13/2007
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	9/22/2003	12/16/2004
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	12/16/2005	11/16/2007
Inactive	Progressive Casualty Insurance Company	300696	Agent - General Lines	6/27/1997	3/31/1998
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	8/15/2000	10/21/2004
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	5/27/1998	8/15/2000
Inactive	Progressive Max Insurance Company	301034	Agent - Property	8/15/2000	10/21/2004
Inactive	Protective Life Insurance Company of Kentucky	300663	Agent - Limited Line Credit	3/26/2001	12/26/2002
Inactive	Symetra Life Insurance Company	301691	Agent - Health	4/11/2003	10/12/2006
Inactive	Symetra Life Insurance Company	301691	Agent - Life	4/11/2003	10/12/2006
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	4/15/2003	1/14/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/1/1995	9/3/1996
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/1/1995	9/3/1996
Inactive	Western National Life Insurance Company	300461	Agent - Life	4/2/2003	11/26/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Blackburn Insurance Group Inc	749040	Agent - Property
Denied	Blackburn Insurance Group Inc	749040	Agent - Casualty
Inactive	Branch Banking & Trust Company	517371	Agent - Limited Line Credit	12/19/2000	1/19/2005
Inactive	Family Bank, FSB	398347	Agent - Credit Life & Health	1/27/1995	1/16/2002
Inactive	Matewan Insurance & Investment Services Inc.	399055	Agent - General Lines	11/11/1998	8/15/2000
Inactive	Matewan Insurance & Investment Services Inc.	399055	Agent - Property	8/15/2000	10/21/2004
Inactive	Matewan Insurance & Investment Services Inc.	399055	Agent - Casualty	8/15/2000	10/21/2004
Inactive	Triple B Insurance Agency of Pikeville Inc.	399510	Agent - Life	9/7/1989	2/12/2004
Inactive	Triple B Insurance Agency of Pikeville Inc.	399510	Agent - Health	9/7/1989	2/12/2004
Inactive	U S Bancorp Ins Services L L C	400253	Agent - Life	3/10/2005	9/4/2007
Inactive	U S Bancorp Ins Services L L C	400253	Agent - Health	3/10/2005	9/4/2007
Inactive	US Bancorp Investments, Inc.	572662	Agent - Life	12/18/2003	9/4/2007
Inactive	US Bancorp Investments, Inc.	572662	Agent - Health	12/18/2003	9/4/2007