DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burris, William Shirley	DOIID	384602	NAIC NPN	7206596

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	3/7/1995	7/1/1998
Inactive	Resident	Agent	Life	3/7/1995	7/1/1998
* 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	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	3/7/1995	7/1/1998
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	3/7/1995	7/1/1998
Inactive	Protective Life Insurance Company	300638	Agent - Health	9/20/1995	7/1/1998
Inactive	Protective Life Insurance Company	300638	Agent - Life	9/20/1995	7/1/1998
Inactive	Wilco Life Insurance Company	300122	Agent - Health	10/4/1995	7/1/1998
Inactive	Wilco Life Insurance Company	300122	Agent - Life	10/4/1995	7/1/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Financial Services Inc.	400757	Agent - Life	3/8/1995	4/15/1996
Inactive	American Financial Services Inc.	400757	Agent - Health	3/8/1995	4/15/1996
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997