DEPARTMENT OF INSURANCE

Affiliations

Name	Burman, Clarence Procktor	DOIID	355488	NAIC NPN	7193864

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Resident	Agent	Crop
Inactive	Resident	Agent	Health Maintenance Organization	9/3/1987	3/1/2001
Inactive	Resident	Agent	General Lines	9/14/1978	8/15/2000
Inactive	Resident	Agent	Life	1/15/1981	5/1/2015
Inactive	Resident	Agent	Health	1/15/1981	5/1/2015
Inactive	Resident	Agent	Property	8/15/2000	5/1/2015
Inactive	Resident	Agent	Casualty	8/15/2000	5/1/2015
* 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	6/21/2005	10/2/2010
Inactive	AIG Assurance Company	300897	Agent - Property	6/21/2005	10/2/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	5/28/2002	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/28/2002	11/21/2007
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/29/1999	11/30/2000
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/29/1999	11/30/2000
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	4/1/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	9/3/1987	3/1/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/2/1993	5/1/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/2/1993	5/1/2015
Inactive	Assurity Life Insurance Company	301099	Agent - Health	9/8/2006	11/8/2010
Inactive	Assurity Life Insurance Company	301099	Agent - Life	9/8/2006	11/8/2010
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	5/6/2002	6/19/2006
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	5/6/2002	6/19/2006
Inactive	Banner Life Insurance Company	301696	Agent - Life	8/21/2006	5/1/2015
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	5/16/2013	10/10/2014
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/16/2013	10/10/2014
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	5/6/2002	6/19/2006
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	5/6/2002	6/19/2006
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	8/17/1995	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	8/17/1995	3/31/1997
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/6/2006	8/13/2008
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	4/6/2006	8/13/2008
Inactive	Cotton States Mutual Insurance Company	300269	Agent - Casualty	11/14/2002	9/2/2003
Inactive	Cotton States Mutual Insurance Company	300269	Agent - Property	11/14/2002	9/2/2003
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	10/17/2003	3/16/2013
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	4/22/2005	8/20/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	4/22/2005	8/20/2012
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	9/3/1997	10/28/2008
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	9/3/1997	10/28/2008
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	8/15/2000	8/15/2005
Denied	Fireman's Fund Insurance Company	301423	Agent - Crop
Inactive	Fireman's Fund Insurance Company	301423	Agent - General Lines	8/5/1996	8/15/2000
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	8/15/2000	8/15/2005
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/24/2004	10/10/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/24/2004	10/10/2014
Inactive	Genworth Life Insurance Company	300623	Agent - Health	9/14/2006	10/4/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	9/14/2006	10/4/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/31/2005	11/10/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/31/2005	11/10/2008
Inactive	Granite State Insurance Company	300818	Agent - Casualty	6/21/2005	10/2/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	6/21/2005	10/2/2010
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	8/15/2000	5/19/2005
Inactive	Great American Alliance Insurance Company	301247	Agent - General Lines	3/5/1980	8/15/2000
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	8/15/2000	5/19/2005
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	5/19/2005
Inactive	Great American Insurance Company	301586	Agent - General Lines	5/16/1988	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	5/19/2005
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	8/15/2000	5/19/2005
Inactive	Great American Insurance Company of New York	301897	Agent - General Lines	5/16/1988	8/15/2000
Inactive	Great American Insurance Company of New York	301897	Agent - Property	8/15/2000	5/19/2005
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	3/11/2003	10/2/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	3/11/2003	10/2/2010
Inactive	Infinity Casualty Insurance Company	301280	Agent - Casualty	8/15/2000	2/19/2004
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	9/2/1980	8/15/2000
Inactive	Infinity Insurance Company	300416	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Infinity Insurance Company	300416	Agent - General Lines	8/30/1994	8/15/2000
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/2/1997	11/13/2000
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	1/10/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	1/10/2011
Inactive	Shelby Casualty Insurance Company	301806	Agent - General Lines	9/14/1978	3/31/1998
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	5/6/2002	6/19/2006
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	5/6/2002	6/19/2006
Inactive	State Life Insurance Company	301497	Agent - Health	9/1/2002	4/24/2008
Inactive	State Life Insurance Company	301497	Agent - Life	9/1/2002	4/24/2008
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	5/6/2002	6/19/2006
Inactive	The Phoenix Insurance Company	301502	Agent - Property	5/6/2002	6/19/2006
Inactive	Time Insurance Company	300683	Agent - Health	1/22/2001	12/19/2006
Inactive	Time Insurance Company	300683	Agent - Life	1/22/2001	12/19/2006
Inactive	TravCo Insurance Company	301828	Agent - Casualty	5/6/2002	6/19/2006
Inactive	TravCo Insurance Company	301828	Agent - Property	5/6/2002	6/19/2006
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	9/3/2002	6/19/2006
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	9/3/2002	6/19/2006
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/18/2005	6/19/2006
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/18/2005	6/19/2006
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	5/6/2002	6/19/2006
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	5/6/2002	6/19/2006
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	9/3/2002	6/19/2006
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	9/3/2002	6/19/2006
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	U.S. Financial Life Insurance Company	301812	Agent - Life	3/21/2003	9/26/2007
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/22/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/22/1995	3/31/1997
Inactive	Weston Property & Casualty Insurance Company	676679	Agent - Casualty	4/7/2009	10/24/2014
Inactive	Weston Property & Casualty Insurance Company	676679	Agent - Property	4/7/2009	10/24/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - General Lines	7/2/1993	8/15/2000
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	7/2/1993	5/31/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	7/2/1993	5/31/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Property	8/15/2000	5/31/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Casualty	8/15/2000	12/10/2001
Inactive	Burman Insurance Agency Inc.	400366	Agent - General Lines	1/15/1981	8/15/2000
Inactive	Burman Insurance Agency Inc.	400366	Agent - Life	1/15/1981	9/1/2009
Inactive	Burman Insurance Agency Inc.	400366	Agent - Health	1/15/1981	9/1/2009
Inactive	Burman Insurance Agency Inc.	400366	Agent - Property	8/15/2000	9/1/2009
Inactive	Burman Insurance Agency Inc.	400366	Agent - Casualty	8/15/2000	9/1/2009
Inactive	Medlink Inc	400721	Agent - Life	9/24/2002	5/1/2015
Inactive	Medlink Inc	400721	Agent - Health	9/24/2002	5/1/2015
Inactive	Planchoice Inc.	400482	Agent - Life	3/5/2003	5/1/2015
Inactive	Planchoice Inc.	400482	Agent - Health	3/5/2003	5/1/2015
Inactive	Tabb Insurance Agency, Inc	713247	Agent - Life	9/11/2009	1/7/2015
Inactive	Tabb Insurance Agency, Inc	713247	Agent - Health	9/11/2009	1/7/2015
Inactive	Tabb Insurance Agency, Inc	713247	Agent - Property	9/11/2009	10/24/2014
Inactive	Tabb Insurance Agency, Inc	713247	Agent - Casualty	9/11/2009	10/24/2014