DEPARTMENT OF INSURANCE

Affiliations

Name	Burnette, Michael A	DOIID	337517	NAIC NPN	1175257

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	10/31/2020
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	5/31/2001	10/31/2020
Inactive	Non Resident	Agent	Health	3/31/1993	10/31/2020
Inactive	Non Resident	Agent	Property	8/15/2000	10/31/2020
Inactive	Non Resident	Agent	Life	3/31/1993	10/31/2020
Inactive	Non Resident	Agent	General Lines	3/31/1993	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	5/2/2008	2/9/2010
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	5/2/2008	2/9/2010
Inactive	Brighthouse Life Insurance Company	301829	Agent - Variable Life and Variable Annuities	5/2/2008	2/9/2010
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	8/22/2001	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	8/22/2001	4/1/2007
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	5/11/2004	11/7/2012
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	5/11/2004	11/7/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	3/2/2004	10/19/2006
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - General Lines	3/31/1993	8/15/2000
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	3/2/2004	10/19/2006
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	8/22/2001	10/28/2008
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	8/22/2001	10/28/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/26/2007	12/7/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/26/2007	12/7/2017
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	12/11/2017	1/2/2019
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	12/11/2017	1/2/2019
Inactive	General American Life Insurance Company	300280	Agent - Health	7/16/2001	1/26/2004
Inactive	General American Life Insurance Company	300280	Agent - Life	7/16/2001	1/26/2004
Inactive	General American Life Insurance Company	300280	Agent - Variable Life and Variable Annuities	7/16/2001	1/26/2004
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	5/18/2005	12/5/2006
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Variable Life and Variable Annuities	5/18/2005	12/5/2006
Inactive	Jackson National Life Insurance Company	300486	Agent - Variable Life and Variable Annuities	6/22/2017	12/31/2018
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	2/27/2004	4/11/2012
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Variable Life and Variable Annuities	2/27/2004	4/11/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	10/16/2008	10/2/2019
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	10/16/2008	10/2/2019
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	10/16/2008	10/2/2019
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	11/8/2006	7/22/2010
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	11/8/2006	7/22/2010
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Variable Life and Variable Annuities	11/8/2006	7/22/2010
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	6/2/2004	10/19/2006
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Variable Life and Variable Annuities	6/2/2004	10/19/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	12/5/2008	1/2/2019
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	12/5/2008	1/2/2019
Inactive	Metropolitan Life Insurance Company	301948	Agent - Variable Life and Variable Annuities	12/5/2008	1/2/2019
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/1/2007	12/20/2010
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	12/20/2010
Inactive	Pruco Life Insurance Company	300954	Agent - Life	12/11/2017	1/2/2019
Inactive	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	12/11/2017	1/2/2019
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Life	3/31/2004	12/13/2010
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Variable Life and Variable Annuities	3/31/2004	12/13/2010
Inactive		300277	Agent - Life	10/13/2000	12/18/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Concourse Financial Group Securities, Inc.	554596	Agent - Life	12/27/2017	12/4/2018
Inactive	Concourse Financial Group Securities, Inc.	554596	Agent - Variable Life and Variable Annuities	12/27/2017	12/4/2018