DEPARTMENT OF INSURANCE

Affiliations

Name	Boerger, Edward Robert	DOIID	368462	NAIC NPN	1773462

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	8/15/2000	2/28/2009
Inactive	Resident	Agent	Casualty	8/15/2000	2/28/2009
Inactive	Resident	Agent	General Lines	1/11/1963	8/15/2000
Inactive	Resident	Agent	Life	5/27/1982	2/28/2009
Inactive	Resident	Agent	Health	5/27/1982	2/28/2009
AFFIDAVIT ON FILE
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Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/11/1993	5/7/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/11/1993	5/7/2001
Inactive	Assurance Company of America	300432	Agent - General Lines	10/30/1995	3/31/1996
Inactive	EMC National Life Company	300388	Agent - Life	3/6/1998	11/18/2008
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	8/30/2001	10/10/2008
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	8/30/2001	10/10/2008
Inactive	First Colony Life Insurance Company	301179	Agent - Health	10/5/1999	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	10/5/1999	1/1/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	12/4/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/4/2007
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/26/1986	11/8/2004
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/26/1986	11/8/2004
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	8/15/2000	10/10/2008
Inactive	Hamilton Mutual Insurance Company	301111	Agent - General Lines	4/17/1980	8/15/2000
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	8/15/2000	10/10/2008
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	8/29/1995	3/31/1997
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	8/29/1995	3/31/1997
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	4/14/1987	7/28/2000
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	7/10/1990	7/11/1999
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	7/10/1990	7/11/1999
Inactive	Maryland Casualty Company	301719	Agent - General Lines	10/30/1995	3/31/1996
Inactive	Meridian Mutual Insurance Company	301303	Agent - Casualty	8/15/2000	6/1/2001
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	1/11/1963	8/15/2000
Inactive	Meridian Mutual Insurance Company	301303	Agent - Property	8/15/2000	6/1/2001
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/9/1996	1/21/2005
Inactive	National Insurance Association	301386	Agent - General Lines	11/9/1988	3/31/1998
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2000	3/11/2004
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	2/22/1973	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2000	3/11/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Life	3/4/1992	3/1/2004
Inactive	Medlink Inc	400721	Agent - Health	3/4/1992	3/1/2004
Inactive	Thompson-Boerger Insurance Inc.	398809	Agent - General Lines	5/27/1982	8/15/2000
Inactive	Thompson-Boerger Insurance Inc.	398809	Agent - Life	5/27/1982	11/18/2008
Inactive	Thompson-Boerger Insurance Inc.	398809	Agent - Health	5/27/1982	12/4/2007
Inactive	Thompson-Boerger Insurance Inc.	398809	Agent - Property	8/15/2000	10/10/2008
Inactive	Thompson-Boerger Insurance Inc.	398809	Agent - Casualty	8/15/2000	10/10/2008