DEPARTMENT OF INSURANCE

Affiliations

Name	Burnett, Connie L	DOIID	337014	NAIC NPN	7185777

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	4/4/1994	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	12/31/2021
Inactive	Resident	Agent	Property	8/15/2000	12/31/2021
* 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	AIG Assurance Company	300897	Agent - Casualty	7/10/2003	5/20/2010
Inactive	AIG Assurance Company	300897	Agent - Property	7/10/2003	5/20/2010
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019	12/31/2021
Inactive	American Economy Insurance Company	300315	Agent - Property	11/8/2019	12/31/2021
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	8/15/2000	11/29/2021
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	4/25/1996	8/15/2000
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/15/2000	11/29/2021
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	12/7/2011	10/15/2021
Inactive	American Fire and Casualty Company	300567	Agent - Property	12/7/2011	10/15/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/15/2000	11/29/2021
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	12/18/1997	8/15/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/15/2000	11/29/2021
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	5/25/2012	12/10/2019
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	5/25/2012	12/10/2019
Inactive	Auto-Owners Insurance Company	301480	Agent - General Lines	1/23/1995	3/31/1996
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/6/2008	12/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/6/2008	12/7/2017
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/15/2000	12/31/2021
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	3/2/1998	8/15/2000
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/15/2000	12/31/2021
Inactive	Countryway Insurance Company	300809	Agent - Casualty	3/11/2014	12/31/2021
Inactive	Countryway Insurance Company	300809	Agent - General Lines	8/23/1994	12/30/1999
Inactive	Countryway Insurance Company	300809	Agent - Property	3/11/2014	12/31/2021
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	3/14/2007	12/16/2015
Inactive	Dairyland Insurance Company	301370	Agent - Property	3/14/2007	12/16/2015
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	9/1/2004	8/20/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	9/1/2004	8/20/2012
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	10/15/2021
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	10/15/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/3/2004	12/31/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/3/2004	12/31/2021
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	10/15/2021
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	10/15/2021
Inactive	Granite State Insurance Company	300818	Agent - Casualty	6/29/2005	5/20/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	6/29/2005	5/20/2010
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	7/10/2003	12/31/2021
Inactive	Illinois National Insurance Company	301367	Agent - Property	7/10/2003	12/31/2021
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/15/2000	12/31/2021
Inactive	Indiana Insurance Company	301909	Agent - General Lines	8/31/1994	8/15/2000
Inactive	Indiana Insurance Company	301909	Agent - Property	8/15/2000	12/31/2021
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	12/31/2021
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	4/4/1994	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	12/31/2021
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/15/2000	12/31/2021
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	3/2/1998	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/15/2000	12/31/2021
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	9/1/2004	12/16/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	9/1/2004	12/16/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	11/7/2007	12/31/2021
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	11/7/2007	12/31/2021
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	12/23/2021	12/31/2021
Inactive	Ohio Security Insurance Company	300622	Agent - Property	12/23/2021	12/31/2021
Inactive	Owners Insurance Company	300796	Agent - General Lines	1/23/1995	3/31/1996
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/15/2000	12/31/2021
Inactive	Peerless Insurance Company	301910	Agent - General Lines	3/2/1998	8/15/2000
Inactive	Peerless Insurance Company	301910	Agent - Property	8/15/2000	12/31/2021
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	5/29/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	5/29/2010
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008	12/31/2021
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008	12/31/2021
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008	10/15/2021
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008	10/15/2021
Inactive	South Carolina Insurance Company	300080	Agent - Casualty	8/15/2000	4/1/2005
Inactive	South Carolina Insurance Company	300080	Agent - General Lines	3/10/1998	8/15/2000
Inactive	South Carolina Insurance Company	300080	Agent - Property	8/15/2000	4/1/2005
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2000	3/11/2004
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	8/16/1994	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2000	3/11/2004
Inactive	Stonington Insurance Company	300746	Agent - General Lines	9/14/1995	8/15/2000
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	6/1/2007	8/20/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	6/1/2007	8/20/2012
Inactive	West American Insurance Company	301112	Agent - Casualty	12/7/2011	12/31/2021
Inactive	West American Insurance Company	301112	Agent - Property	12/7/2011	12/31/2021
Inactive	West Bend Insurance Company	672974	Agent - Casualty	10/25/2011	12/31/2021
Inactive	West Bend Insurance Company	672974	Agent - Property	10/25/2011	12/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance Associates Inc.	398312	Agent - Property	8/15/2000	12/31/2021
Inactive	Insurance Associates Inc.	398312	Agent - Casualty	8/15/2000	12/31/2021