DEPARTMENT OF INSURANCE

Affiliations

Name	Burman, John Lee	DOIID	343154	NAIC NPN	7188410

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	2/9/1998	11/30/2015
Inactive	Resident	Agent	Health Maintenance Organization	3/22/1990	3/31/1997
Inactive	Resident	Agent	Casualty	8/15/2000	11/30/2015
Inactive	Resident	Agent	Life	3/5/1959	11/30/2015
Inactive	Resident	Agent	Health	3/5/1959	11/30/2015
Inactive	Resident	Agent	General Lines	3/16/1959	8/15/2000
* 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 Heritage Life Insurance Company	300272	Agent - Health	3/15/2004	6/23/2008
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	3/15/2004	6/23/2008
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	3/22/1990	3/31/1997
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/26/1989	3/31/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/13/1993	12/31/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/13/1993	12/31/1998
Inactive	Assurity Life Insurance Company	301099	Agent - Health	8/17/2004	1/22/2009
Inactive	Assurity Life Insurance Company	301099	Agent - Life	8/17/2004	1/22/2009
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	1/16/2013	12/22/2014
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	1/16/2013	12/22/2014
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	12/17/2003	3/7/2005
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	12/17/2003	3/7/2005
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008	3/6/2015
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/11/2008	3/6/2015
Inactive	C.M. Life Insurance Company	301335	Agent - Health	2/16/2005	11/12/2012
Inactive	C.M. Life Insurance Company	301335	Agent - Life	2/16/2005	11/12/2012
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	5/12/2009	3/6/2015
Inactive	Dairyland Insurance Company	301370	Agent - Property	5/12/2009	3/6/2015
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - General Lines	8/6/1991	5/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000	2/2/2015
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	8/28/1969	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - Property	8/15/2000	2/2/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/28/2004	3/6/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/28/2004	3/6/2015
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/17/2003	3/7/2005
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/17/2003	3/7/2005
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	1/29/2013	12/31/2014
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	1/29/2013	12/31/2014
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/21/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/21/2005	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	4/14/2014	11/30/2015
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	4/14/2014	11/30/2015
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000	2/2/2015
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	3/16/1959	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000	2/2/2015
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	2/16/2005	11/12/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	2/16/2005	11/12/2012
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	8/24/2004	4/10/2007
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	8/24/2004	4/10/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	8/24/2004	4/10/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	8/24/2004	4/10/2007
Inactive	Rural Community Insurance Company	301891	Agent - Property	2/9/1998	2/20/2004
Inactive	Shelby Casualty Insurance Company	301806	Agent - General Lines	3/5/1979	3/31/1996
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	3/5/1959	2/2/2015
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	3/5/1959	2/2/2015
Inactive	Union Security Insurance Company	301844	Agent - Health	5/21/1998	12/31/2000
Inactive	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005	4/10/2007
Inactive	United Financial Casualty Company	301886	Agent - Property	12/2/2005	4/10/2007
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/2/2011	1/15/2016
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/2/2011	1/15/2016
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	6/16/2015
Inactive	Western Surety Company	300283	Agent - General Lines	8/27/1979	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	2/20/2002	11/8/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	3/27/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	3/27/2015
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	John Burman Agency, Inc.	602439	Agent - Life	2/2/2005	11/30/2015
Inactive	John Burman Agency, Inc.	602439	Agent - Health	2/2/2005	11/30/2015
Inactive	John Burman Agency, Inc.	602439	Agent - Property	2/2/2005	11/30/2015
Inactive	John Burman Agency, Inc.	602439	Agent - Casualty	2/2/2005	11/30/2015
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/15/1988	1/29/2015
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/15/1988	1/29/2015
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	8/15/1988	8/15/2000
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000	1/29/2015
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000	1/29/2015
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Life	9/7/2004	3/31/2007
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Health	9/7/2004	3/31/2007
Inactive	West Kentucky Group Benefits	401049	Agent - Life	12/28/1998	2/24/2003
Inactive	West Kentucky Group Benefits	401049	Agent - Health	12/28/1998	2/24/2003