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.

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