DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burgin, Donna Marie	DOIID	358260	NAIC NPN	7195134

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	8/19/2020
Inactive	Resident	Agent	Credit Life & Health	3/11/1999	8/7/2000
* 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 National Insurance Company	301861	Agent - Limited Line Credit	6/29/2016	8/19/2020
Inactive	American National Property and Casualty Company	300392	Agent - Limited Line Credit	6/29/2016	8/19/2020
Inactive	American Republic Insurance Company	300861	Agent - Limited Line Credit	7/23/2003	2/11/2008
Inactive	First Colonial Insurance Company	300752	Agent - Limited Line Credit	10/16/2000	9/6/2003
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	9/28/2000	10/15/2001
Inactive	Lyndon Southern Insurance Company	609602	Agent - Limited Line Credit	9/29/2005	5/19/2020
Inactive	Protective Property & Casualty Insurance Company	300393	Agent - Limited Line Credit	6/26/2003	10/30/2006
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	3/11/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	5/19/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First South Credit of Nelson Co. Inc.	615998	Agent - Limited Line Credit	2/14/2008	8/19/2020