DEPARTMENT OF INSURANCE

Affiliations

Name	Burkhead, Charles David	DOIID	389746	NAIC NPN	7208789

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	7/19/1972	8/26/1996
Inactive	Resident	Agent	Health	7/19/1972	8/26/1996
Inactive	Resident	Agent	General Lines	7/24/1972	8/26/1996
* 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	ACE Property and Casualty Insurance Company	300520	Agent - General Lines	5/16/1988	8/26/1996
Inactive	American Growers Insurance Company	300841	Agent - General Lines	4/5/1994	8/26/1996
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/15/1993	8/26/1996
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/15/1993	8/26/1996
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	11/15/1995	8/26/1996
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	11/15/1995	8/26/1996
Inactive	Chase Life and Annuity Company	300145	Agent - Health	9/14/1993	8/26/1996
Inactive	Chase Life and Annuity Company	300145	Agent - Life	9/14/1993	8/26/1996
Inactive	Continental Casualty Company	301019	Agent - Health	12/17/1990	8/26/1996
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/10/1982	8/26/1996
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/10/1982	8/26/1996
Inactive	Grain Dealers Mutual Insurance Company	300867	Agent - General Lines	11/3/1976	8/26/1996
Inactive	Grange Insurance Company	300234	Agent - General Lines	7/24/1972	5/10/1996
Inactive	Grange Life Insurance Company	300128	Agent - Health	9/12/1974	5/10/1996
Inactive	Grange Life Insurance Company	300128	Agent - Life	9/12/1974	5/10/1996
Inactive	Great American Alliance Insurance Company	301247	Agent - General Lines	4/14/1983	8/26/1996
Inactive	Great American Assurance Company	300327	Agent - General Lines	9/1/1993	8/26/1996
Inactive	Great American Insurance Company	301586	Agent - General Lines	9/30/1976	8/26/1996
Inactive	Great American Insurance Company of New York	301897	Agent - General Lines	9/15/1972	8/26/1996
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	11/6/1995	8/26/1996
Inactive	Great Southern Life Insurance Company	301443	Agent - Life	11/6/1995	8/26/1996
Inactive	GuideOne Elite Insurance Company	300490	Agent - General Lines	11/10/1987	8/26/1996
Inactive	GuideOne Insurance Company	301794	Agent - General Lines	10/22/1985	8/26/1996
Inactive	GuideOne Specialty Insurance Company	300278	Agent - General Lines	5/10/1988	8/26/1996
Inactive	Illinois National Insurance Company	301367	Agent - General Lines	5/30/1991	8/26/1996
Inactive	Infinity Insurance Company	300416	Agent - General Lines	3/16/1994	8/26/1996
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	7/19/1972	8/26/1996
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	7/19/1972	8/26/1996
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	7/24/1972	8/26/1996
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	3/23/1989	8/26/1996
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	3/23/1989	8/26/1996
Inactive	National Casualty Company	301483	Agent - Health	5/2/1990	8/26/1996
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	4/29/1996	8/26/1996
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	4/29/1996	8/26/1996
Inactive	Redland Insurance Company	300687	Agent - General Lines	4/30/1991	8/26/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	8/26/1996
Inactive	Tatum Hester & Burkhead Insurance Inc.	399752	Agent - General Lines	4/25/1979	8/26/1996
Inactive	Tatum Hester & Burkhead Insurance Inc.	399752	Agent - Life	4/25/1979	8/26/1996
Inactive	Tatum Hester & Burkhead Insurance Inc.	399752	Agent - Health	4/25/1979	8/26/1996