DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burden, Dewey Justice	DOIID	383195	NAIC NPN	523095

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/24/1991	12/30/1998
Inactive	Non Resident	Agent	Health	6/24/1991	12/30/1998
* 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	London Pacific Life & Annuity Company	300371	Agent - Health	5/22/1992	12/30/1998
Inactive	London Pacific Life & Annuity Company	300371	Agent - Life	5/22/1992	12/30/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Continental Management	399956	Agent - Life	6/24/1991	12/30/1998
Inactive	Continental Management	399956	Agent - Health	6/24/1991	12/30/1998