DEPARTMENT OF INSURANCE

Affiliations

Name	Burnett, Lee Page	DOIID	356499	NAIC NPN	829826

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	7/28/1988	12/1/2000
Inactive	Resident	Agent	Health	7/28/1988	12/1/2000
Inactive	Resident	Agent	Health Maintenance Organization	7/1/1993	12/1/2000
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	11/1/1996	12/1/2000
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	11/1/1996	12/1/2000
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	7/1/1993	12/1/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/7/1993	6/7/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/7/1993	6/7/2000
Inactive	C.M. Life Insurance Company	301335	Agent - Health	2/12/1997	11/3/1998
Inactive	C.M. Life Insurance Company	301335	Agent - Life	2/12/1997	11/3/1998
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	12/19/1995	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	12/19/1995	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	4/16/1991	12/1/2000
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	4/16/1991	12/1/2000
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	12/30/1996	12/31/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	12/30/1996	12/31/1998
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	8/19/1996	5/2/1997
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	8/19/1996	5/2/1997
Inactive	First Colony Life Insurance Company	301179	Agent - Life	2/23/1990	12/1/2000
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	9/16/1996	12/1/2000
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	9/16/1996	12/1/2000
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/19/1995	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/19/1995	3/31/1997
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	11/2/1995	1/13/2000
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	11/2/1995	1/13/2000
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	1/23/1992	8/29/1996
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	1/23/1992	8/29/1996
Inactive	MML Bay State Life Insurance Company	301198	Agent - Health	10/11/1995	4/2/1998
Inactive	MML Bay State Life Insurance Company	301198	Agent - Life	10/11/1995	4/2/1998
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	7/28/1988	11/3/1998
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	7/28/1988	11/3/1998
Inactive	Principal Life Insurance Company	300129	Agent - Health	2/8/1990	12/1/2000
Inactive	Principal Life Insurance Company	300129	Agent - Life	2/8/1990	12/1/2000
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	8/14/1996	12/1/2000
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	8/14/1996	12/1/2000
Inactive	Union Bankers Insurance Company	301769	Agent - Health	10/25/1988	3/31/1997
Inactive	Union Bankers Insurance Company	301769	Agent - Life	10/25/1988	3/31/1997
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	8/13/1997	12/28/1998
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	8/13/1997	12/28/1998
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/9/1993	12/1/2000
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/9/1993	12/1/2000
Inactive	Washington National Insurance Company	300587	Agent - Health	5/6/1997	12/1/2000
Inactive	Washington National Insurance Company	300587	Agent - Life	5/6/1997	12/1/2000
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	8/23/1990	3/31/1997
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	8/23/1990	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	West Kentucky Group Benefits	401049	Agent - Life	12/28/1998	12/1/2000
Inactive	West Kentucky Group Benefits	401049	Agent - Health	12/28/1998	12/1/2000