DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burcham, Anglea Rae	DOIID	375020	NAIC NPN	248821

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/27/1995	11/30/2004
Inactive	Non Resident	Agent	Health	4/27/1995	11/30/2004
* 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	Sears Life Insurance Company	300218	Agent - Health	10/30/2000	1/3/2003
Inactive	Sears Life Insurance Company	300218	Agent - Life	10/30/2000	1/3/2003
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	4/27/1995	3/31/1997
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	4/27/1995	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	TeleSpectrum, Inc	512199	Agent - Life	6/10/2002	1/3/2003
Inactive	TeleSpectrum, Inc	512199	Agent - Health	6/10/2002	1/3/2003