DEPARTMENT OF INSURANCE
Affiliations
NameBurnett, Jeffrey RobertDOIID366578NAIC NPN738018
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife6/22/20091/31/2025 
InactiveResidentAgentHealth Maintenance Organization8/20/19911/22/1997 
InactiveResidentAgentVariable Life and Variable Annuities6/22/20091/31/2025 
InactiveResidentAgentHealth6/22/20091/31/2025 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Life4/16/20241/31/2025
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities4/16/20241/31/2025
InactiveBanner Life Insurance Company301696Agent - Life10/14/20211/31/2025
InactiveFirst Colony Life Insurance Company301179Agent - Life5/1/20031/1/2007
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life4/25/20181/31/2025
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities4/25/20181/31/2025
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health7/3/20091/7/2014
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life7/3/20091/7/2014
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization8/20/19911/22/1997
InactiveJackson National Life Insurance Company300486Agent - Life2/10/20155/23/2024
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities2/10/20155/23/2024
InactiveNationwide Life Insurance Company300495Agent - Health11/17/201512/18/2024
InactiveNationwide Life Insurance Company300495Agent - Life11/17/201512/18/2024
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities11/17/201512/18/2024
InactivePacific Life Insurance Company301848Agent - Life9/4/201912/10/2022
InactivePrincipal Life Insurance Company300129Agent - Health11/13/20151/31/2025
InactivePrincipal Life Insurance Company300129Agent - Life11/13/20151/31/2025
InactivePrincipal Life Insurance Company300129Agent - Variable Life and Variable Annuities11/13/20151/31/2025
InactivePrincipal National Life Insurance Company301926Agent - Life3/21/20211/31/2025
InactivePrincipal National Life Insurance Company301926Agent - Variable Life and Variable Annuities3/21/20211/31/2025
InactiveProtective Life Insurance Company300638Agent - Health12/26/202111/23/2023
InactiveProtective Life Insurance Company300638Agent - Life12/26/202111/23/2023
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities12/26/202111/23/2023
InactivePruco Life Insurance Company300954Agent - Life3/9/202112/23/2024
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities4/25/201811/25/2020
InactiveReliance Standard Life Insurance Company300584Agent - Life2/9/20231/31/2025
InactiveRiverSource Life Insurance Company301952Agent - Health1/26/20241/31/2025
InactiveRiverSource Life Insurance Company301952Agent - Life1/26/20241/31/2025
InactiveRiverSource Life Insurance Company301952Agent - Variable Life and Variable Annuities1/26/20241/31/2025
InactiveSecurity Benefit Life Insurance Company300583Agent - Life3/16/20201/31/2025
InactiveSecurity Benefit Life Insurance Company300583Agent - Variable Life and Variable Annuities3/16/20201/31/2025
InactiveTransamerica Life Insurance Company300571Agent - Health10/18/20183/15/2021
InactiveTransamerica Life Insurance Company300571Agent - Life10/18/20183/15/2021
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities3/28/201110/3/2013
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmeriprise Financial Services, LLC398326Agent - Life11/10/20091/31/2025
InactiveAmeriprise Financial Services, LLC398326Agent - Health11/10/20091/31/2025
DeniedAmeriprise Financial Services, LLC398326Agent - Variable Life and Variable Annuities  

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