DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burton, Charlotte Faye	DOIID	340376	NAIC NPN	5963048

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	9/16/2002	4/20/2006
Inactive	Resident	Agent	General Lines	5/16/1985	8/15/2000
Inactive	Resident	Agent	Casualty	9/16/2002	4/20/2006
Inactive	Resident	Agent	Property	9/16/2002	4/20/2006
Inactive	Resident	Agent	Health	9/16/2002	4/20/2006
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/2/1994	3/20/1998
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/2/1994	3/20/1998
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Health	6/25/2004	12/29/2004
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Life	6/25/2004	12/29/2004
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	9/10/1985	3/18/2002
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	9/10/1985	3/18/2002
Inactive	Investors Life Insurance Company of North America	301660	Agent - Life	7/16/2001	7/1/2002
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	7/22/1986	3/31/1998
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	5/16/1985	1/18/2000
Inactive	Shelby Casualty Insurance Company	301806	Agent - General Lines	3/5/1991	3/31/1996
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2000	7/1/2002
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	4/14/1986	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2000	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	Bill Barlow Insurance Agency Inc.	399814	Agent - Life	6/28/1988	7/1/2002
Inactive	Bill Barlow Insurance Agency Inc.	399814	Agent - Health	6/28/1988	7/1/2002
Inactive	Bill Barlow Insurance Agency Inc.	399814	Agent - General Lines	6/28/1988	8/15/2000
Inactive	Bill Barlow Insurance Agency Inc.	399814	Agent - Property	8/15/2000	7/1/2002
Inactive	Bill Barlow Insurance Agency Inc.	399814	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Hatter-Barlow Inc.	519933	Agent - Life	6/21/2001	8/24/2001
Inactive	Hatter-Barlow Inc.	519933	Agent - Health	6/21/2001	8/24/2001