DEPARTMENT OF INSURANCE

Affiliations

Name	Burkholder III, John Wesley	DOIID	391224	NAIC NPN	1892118

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	11/12/1991	8/16/2000
Inactive	Resident	Agent	Life	3/26/1982	4/1/2001
Inactive	Resident	Agent	General Lines	3/26/1982	8/15/2000
Inactive	Resident	Agent	Health	3/26/1982	4/1/2001
Inactive	Resident	Life & Health Consultant	Not Applicable	2/3/2005	2/29/2008
Inactive	Resident	Property & Casualty Consultant	Not Applicable	3/4/2005	2/29/2008
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	2/12/1996	8/16/2000
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/12/1996	8/16/2000
Inactive	American States Life Insurance Company	301884	Agent - Health	11/1/1998	8/16/2000
Inactive	American States Life Insurance Company	301884	Agent - Life	11/1/1998	8/16/2000
Inactive	Ameritas Variable Life Insurance Company	300665	Agent - Health	7/6/1999	8/16/2000
Inactive	Ameritas Variable Life Insurance Company	300665	Agent - Life	7/6/1999	8/16/2000
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	11/12/1991	8/16/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/2/1993	4/3/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/2/1993	4/3/2000
Inactive	Athene Annuity and Life Company	301893	Agent - Health	11/13/1998	4/1/2001
Inactive	Athene Annuity and Life Company	301893	Agent - Life	11/13/1998	4/1/2001
Inactive	Audubon Insurance Company	301767	Agent - General Lines	11/20/1998	8/15/2000
Inactive	Boston Old Colony Insurance Company	300720	Agent - General Lines	9/16/1988	3/31/1998
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	12/17/1992	8/16/2000
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	12/17/1992	8/16/2000
Inactive	Celtic Insurance Company	300877	Agent - Health	11/5/1993	3/31/1997
Inactive	Celtic Insurance Company	300877	Agent - Life	11/5/1993	3/31/1997
Inactive	Chase Life and Annuity Company	300145	Agent - Life	6/5/1986	12/11/1996
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	9/16/1988	8/15/2000
Inactive	Countryway Insurance Company	300809	Agent - General Lines	11/15/1985	8/15/2000
Inactive	Everlake Life Insurance Company	300873	Agent - Life	7/6/1999	8/16/2000
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	12/10/1998	8/16/2000
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - General Lines	7/12/1994	4/28/1997
Inactive	Fireman's Fund Insurance Company	301423	Agent - General Lines	8/5/1996	8/15/2000
Inactive	First Colony Life Insurance Company	301179	Agent - Health	5/30/2000	8/16/2000
Inactive	First Colony Life Insurance Company	301179	Agent - Life	5/30/2000	8/16/2000
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Health	9/27/1994	8/16/2000
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	9/27/1994	8/16/2000
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/4/1985	8/16/2000
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/4/1985	8/16/2000
Inactive	Grange Indemnity Insurance Company	300793	Agent - General Lines	10/19/1998	8/15/2000
Inactive	Grange Insurance Company	300234	Agent - General Lines	6/2/1983	8/15/2000
Inactive	Grange Life Insurance Company	300128	Agent - Health	12/12/1985	8/16/2000
Inactive	Grange Life Insurance Company	300128	Agent - Life	12/12/1985	8/16/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	6/21/1995	3/31/1998
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	10/27/1999	8/16/2000
Inactive	Humana Insurance Company	301104	Agent - Health	10/27/1999	8/16/2000
Inactive	Humana Insurance Company	301104	Agent - Life	10/27/1999	8/16/2000
Inactive	ING Insurance Company of America	301507	Agent - Life	1/29/1996	8/16/2000
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	11/12/1987	8/16/2000
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	11/12/1987	8/16/2000
Inactive	Illinois National Insurance Company	301367	Agent - General Lines	5/10/1983	8/15/2000
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	11/24/1986	8/15/2000
Inactive	Integrity Life Insurance Company	301687	Agent - Life	10/28/1994	8/16/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	6/7/1993	2/19/1999
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	6/7/1993	2/19/1999
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	9/22/2000	12/15/2000
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	11/1/1993	9/27/1999
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	11/1/1993	9/27/1999
Inactive	LifeUSA Insurance Company	300386	Agent - Health	2/12/1996	8/16/2000
Inactive	LifeUSA Insurance Company	300386	Agent - Life	2/12/1996	8/16/2000
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	11/9/1993	8/13/1999
Inactive	Manufacturers Life Insurance Company of North America	301899	Agent - Life	9/8/1994	8/16/2000
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	9/2/1998	8/16/2000
Inactive	National Union Fire Insurance Company of Louisiana	301132	Agent - General Lines	11/20/1998	8/15/2000
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	3/14/1994	8/16/2000
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	3/14/1994	8/16/2000
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Health	6/10/1994	7/3/2000
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Life	6/10/1994	7/3/2000
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	6/24/1992	8/15/2000
Inactive	Ohio Security Insurance Company	300622	Agent - General Lines	11/3/1999	8/15/2000
Inactive	Old Republic Life Insurance Company	301214	Agent - Health	1/16/1997	10/15/1998
Inactive	Old Republic Life Insurance Company	301214	Agent - Life	1/16/1997	10/15/1998
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	4/18/1996	10/11/1999
Inactive	Physicians Life Insurance Company	300924	Agent - Life	7/11/2000	8/16/2000
Inactive	Principal Life Insurance Company	300129	Agent - Health	6/9/1986	8/16/2000
Inactive	Principal Life Insurance Company	300129	Agent - Life	6/9/1986	8/16/2000
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	8/25/1995	8/16/2000
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	8/25/1995	8/16/2000
Inactive	Security Life Insurance Company of America	300936	Agent - Health	4/5/1994	12/30/1998
Inactive	Security Life Insurance Company of America	300936	Agent - Life	4/5/1994	12/30/1998
Inactive	SunAmerica Life Insurance Company	300096	Agent - Health	8/12/1993	3/31/1997
Inactive	SunAmerica Life Insurance Company	300096	Agent - Life	8/12/1993	3/31/1997
Inactive	Symetra Life Insurance Company	301691	Agent - Health	3/13/1998	8/16/2000
Inactive	Symetra Life Insurance Company	301691	Agent - Life	3/13/1998	8/16/2000
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	1/5/1994	8/16/2000
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	1/5/1994	8/16/2000
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	1/5/1994	8/16/2000
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	1/5/1994	8/16/2000
Inactive	Time Insurance Company	300683	Agent - Health	10/28/1998	8/16/2000
Inactive	Time Insurance Company	300683	Agent - Life	10/28/1998	8/16/2000
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	3/24/1999	8/16/2000
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	10/3/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	10/3/1995	3/31/1997
Inactive	Wilco Life Insurance Company	300122	Agent - Health	7/6/1994	1/24/1997
Inactive	Wilco Life Insurance Company	300122	Agent - Life	7/6/1994	1/24/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Burkholder Company	400921	Agent - Life	3/26/1982	8/16/2000
Inactive	Burkholder Company	400921	Agent - Health	3/26/1982	8/16/2000
Inactive	Burkholder Company	400921	Agent - General Lines	3/26/1982	8/15/2000
Inactive	FFP Securities Inc.	398147	Agent - Life	8/8/1994	8/16/2000
Inactive	FFP Securities Inc.	398147	Agent - Health	8/8/1994	8/16/2000
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997