DEPARTMENT OF INSURANCE

Affiliations

Name	Burkholder Company	DOIID	400921	NAIC NPN	7222761

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	8/8/1982	8/16/2000
Inactive	Resident	Agent	General Lines	3/31/1982	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	5/24/2004
Inactive	Resident	Agent	Prepaid Dental Plan	6/19/1996	3/31/1997
Inactive	Resident	Agent	Health Maintenance Organization	10/1/1999	3/1/2001
Inactive	Resident	Agent	Property	8/15/2000	5/24/2004
Inactive	Resident	Agent	Life	8/8/1982	8/16/2000
* 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	AIG Assurance Company	300897	Agent - Casualty	8/15/2000	5/24/2004
Inactive	AIG Assurance Company	300897	Agent - General Lines	7/1/1998	8/15/2000
Inactive	AIG Assurance Company	300897	Agent - Property	8/15/2000	5/24/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	10/8/1996	8/16/2000
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	10/8/1996	8/16/2000
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	8/15/2000	3/26/2002
Inactive	Allstate Indemnity Company	300778	Agent - General Lines	3/31/1982	8/15/2000
Inactive	Allstate Indemnity Company	300778	Agent - Property	8/15/2000	3/26/2002
Inactive	Allstate Insurance Company	300773	Agent - Casualty	8/15/2000	3/26/2002
Inactive	Allstate Insurance Company	300773	Agent - General Lines	3/31/1982	8/15/2000
Inactive	Allstate Insurance Company	300773	Agent - Property	8/15/2000	3/26/2002
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/1/1991	3/20/1998
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/1/1991	3/20/1998
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	8/15/2000	5/24/2004
Inactive	American Fire and Casualty Company	300567	Agent - General Lines	11/13/1985	8/15/2000
Inactive	American Fire and Casualty Company	300567	Agent - Property	8/15/2000	5/24/2004
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - General Lines	3/31/1982	6/13/1996
Inactive	American States Life Insurance Company	301884	Agent - Health	12/30/1998	11/26/2001
Inactive	American States Life Insurance Company	301884	Agent - Life	12/30/1998	11/19/2001
Inactive	American Zurich Insurance Company	300592	Agent - General Lines	7/21/1987	6/13/1996
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/9/2000	7/22/2002
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/9/2000	7/22/2002
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 - Casualty	8/15/2000	5/24/2004
Inactive	Audubon Insurance Company	301767	Agent - General Lines	11/11/1998	8/15/2000
Inactive	Audubon Insurance Company	301767	Agent - Property	8/15/2000	5/24/2004
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	8/3/1992	12/31/2001
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	8/3/1992	12/31/2001
Inactive	Berkley Life and Health Insurance Company	301421	Agent - Health	5/6/1993	3/31/1997
Inactive	Berkley Life and Health Insurance Company	301421	Agent - Life	5/6/1993	3/31/1997
Inactive	Boston Old Colony Insurance Company	300720	Agent - General Lines	10/6/1988	3/31/1998
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	12/18/1992	8/16/2000
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	12/18/1992	8/16/2000
Inactive	Chase Life and Annuity Company	300145	Agent - Health	6/11/1992	12/11/1996
Inactive	Chase Life and Annuity Company	300145	Agent - Life	6/11/1992	12/11/1996
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	10/6/1988	3/31/1998
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	8/15/2000	5/24/2004
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	3/31/1982	8/15/2000
Inactive	Dairyland Insurance Company	301370	Agent - Property	8/15/2000	5/24/2004
Inactive	Everlake Life Insurance Company	300873	Agent - Health	6/19/1995	3/26/2002
Inactive	Everlake Life Insurance Company	300873	Agent - Life	6/19/1995	3/26/2002
Inactive	Falls Lake National Insurance Company	301796	Agent - Casualty	8/15/2000	12/16/2003
Inactive	Falls Lake National Insurance Company	301796	Agent - General Lines	6/3/1996	8/15/2000
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	7/26/1999	2/26/2003
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/2/1998	3/23/2001
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/2/1998	3/23/2001
Inactive	Globe American Casualty Company	301033	Agent - Casualty	8/15/2000	2/11/2002
Inactive	Globe American Casualty Company	301033	Agent - General Lines	1/22/1991	8/15/2000
Inactive	Globe American Casualty Company	301033	Agent - Property	8/15/2000	2/11/2002
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/3/1985	4/23/2001
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/3/1985	4/23/2001
Inactive	Grange Indemnity Insurance Company	300793	Agent - General Lines	2/7/2000	8/15/2000
Inactive	Grange Insurance Company	300234	Agent - General Lines	3/31/1982	8/15/2000
Inactive	Granite State Insurance Company	300818	Agent - Casualty	8/15/2000	5/24/2004
Inactive	Granite State Insurance Company	300818	Agent - General Lines	6/16/2000	8/15/2000
Inactive	Granite State Insurance Company	300818	Agent - Property	8/15/2000	5/24/2004
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	8/8/1982	8/16/2000
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	8/8/1982	8/16/2000
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	9/13/2002
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	10/1/1999	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	9/30/1999	9/13/2002
Inactive	Humana Insurance Company	301104	Agent - Life	9/30/1999	9/13/2002
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Illinois National Insurance Company	301367	Agent - General Lines	3/31/1982	8/15/2000
Inactive	Illinois National Insurance Company	301367	Agent - Property	8/15/2000	3/31/2002
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	6/28/1993	2/19/1999
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	6/28/1993	2/19/1999
Inactive	Jackson National Life Insurance Company	300486	Agent - Health	11/30/1993	12/15/2000
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	11/30/1993	12/15/2000
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	5/9/1995	3/22/1996
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	5/9/1995	3/22/1996
Inactive	Life Insurance Company of Alabama	301439	Agent - Health	3/30/1995	3/31/1997
Inactive	Life Insurance Company of Alabama	301439	Agent - Life	3/30/1995	3/31/1997
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	12/31/2001	10/3/2003
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	12/31/2001	10/3/2003
Inactive	LifeUSA Insurance Company	300386	Agent - Health	8/3/1998	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	8/3/1998	8/2/2002
Inactive	Millers Insurance Company (The)	300349	Agent - General Lines	6/6/1996	3/31/1998
Inactive	National Insurance Association	301386	Agent - Casualty	8/15/2000	6/27/2001
Inactive	National Insurance Association	301386	Agent - General Lines	5/25/1989	8/15/2000
Inactive	National Insurance Association	301386	Agent - Property	8/15/2000	6/27/2001
Inactive	National Union Fire Insurance Company of Louisiana	301132	Agent - Casualty	8/15/2000	5/24/2004
Inactive	National Union Fire Insurance Company of Louisiana	301132	Agent - General Lines	11/11/1998	8/15/2000
Inactive	National Union Fire Insurance Company of Louisiana	301132	Agent - Property	8/15/2000	5/24/2004
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/15/2000	5/24/2004
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	11/13/1985	8/15/2000
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	8/15/2000	5/24/2004
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	8/15/2000	5/24/2004
Inactive	Ohio Security Insurance Company	300622	Agent - General Lines	11/13/1985	8/15/2000
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/15/2000	5/24/2004
Inactive	PAFCO General Insurance Company	301645	Agent - Casualty	8/15/2000	5/24/2004
Inactive	PAFCO General Insurance Company	301645	Agent - General Lines	3/31/1982	8/15/2000
Inactive	PAFCO General Insurance Company	301645	Agent - Property	8/15/2000	5/24/2004
Inactive	Permanent General Assurance Corporation	300883	Agent - General Lines	10/18/1996	1/10/2000
Inactive	Premier Dental Network Inc.	300661	Agent - Prepaid Dental Plan	6/19/1996	3/31/1997
Inactive	Principal Life Insurance Company	300129	Agent - Health	6/10/1986	11/30/2003
Inactive	Principal Life Insurance Company	300129	Agent - Life	6/10/1986	11/30/2003
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	10/25/1999	8/15/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	10/25/1999	8/15/2000
Inactive	Progressive Northwestern Insurance Company	300441	Agent - General Lines	10/25/1999	8/15/2000
Inactive	Provident Indemnity Life Insurance Company	301218	Agent - Health	4/20/1994	3/31/1997
Inactive	Provident Indemnity Life Insurance Company	301218	Agent - Life	4/20/1994	3/31/1997
Inactive	SunAmerica Life Insurance Company	300096	Agent - Health	8/12/1993	3/31/2003
Inactive	SunAmerica Life Insurance Company	300096	Agent - Life	8/12/1993	3/31/2003
Inactive	Symetra Life Insurance Company	301691	Agent - Health	3/14/1998	8/16/2000
Inactive	Symetra Life Insurance Company	301691	Agent - Life	3/14/1998	8/16/2000
Inactive	Trustgard Insurance Company	300104	Agent - General Lines	2/7/2000	8/15/2000
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	10/17/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	10/17/1995	3/31/1997
Inactive	West American Insurance Company	301112	Agent - Casualty	8/15/2000	5/24/2004
Inactive	West American Insurance Company	301112	Agent - General Lines	11/13/1985	8/15/2000
Inactive	West American Insurance Company	301112	Agent - Property	8/15/2000	5/24/2004
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	11/26/2001
Inactive	Western Surety Company	300283	Agent - General Lines	3/31/1982	8/15/2000
Inactive	Windhaven National Insurance Company	300094	Agent - Casualty	8/15/2000	2/20/2004
Inactive	Windhaven National Insurance Company	300094	Agent - General Lines	5/22/1996	8/15/2000
Inactive	Zurich American Insurance Company	301121	Agent - General Lines	3/31/1982	6/13/1996
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - General Lines	7/21/1987	6/13/1996

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	10/28/1999	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	10/28/1999	12/31/2001
Inactive	Barnett, Brenda Gaye	312277	Agent - General Lines	5/28/1993	7/1/1996
Inactive	Barnett, Brenda Gaye	312277	Agent - Health	5/28/1993	7/1/1996
Inactive	Barnett, Brenda Gaye	312277	Agent - Life	5/28/1993	7/1/1996
Inactive	Brangers, Deanna Lynn	385436	Agent - Health	2/18/1999	2/26/2003
Inactive	Brangers, Deanna Lynn	385436	Agent - Life	2/18/1999	2/26/2003
Inactive	Burkholder, John Wesley	391224	Agent - General Lines	3/26/1982	8/15/2000
Inactive	Burkholder, John Wesley	391224	Agent - Health	3/26/1982	8/16/2000
Inactive	Burkholder, John Wesley	391224	Agent - Life	3/26/1982	8/16/2000
Inactive	Casey, Janie Blakeman	366537	Agent - Health	1/6/1993	2/2/1996
Inactive	Casey, Janie Blakeman	366537	Agent - Life	1/6/1993	2/2/1996
Inactive	Hearon, Betty Jean	379405	Agent - Casualty	8/15/2000	2/26/2003
Inactive	Hearon, Betty Jean	379405	Agent - General Lines	2/29/1988	8/15/2000
Inactive	Hearon, Betty Jean	379405	Agent - Property	8/15/2000	2/26/2003
Inactive	Lawson, Kathy Lynn	380148	Agent - Casualty	8/15/2000	2/26/2003
Inactive	Lawson, Kathy Lynn	380148	Agent - General Lines	1/6/1993	8/15/2000
Inactive	Lawson, Kathy Lynn	380148	Agent - Property	8/15/2000	2/26/2003
Inactive	Slinker, Sammie Stephen	308373	Agent - General Lines	1/13/1993	2/18/1999
Inactive	Slinker, Sammie Stephen	308373	Agent - Health	1/13/1993	2/18/1999
Inactive	Slinker, Sammie Stephen	308373	Agent - Life	1/13/1993	2/18/1999
Inactive	Smith, Tony	354315	Agent - General Lines	2/29/1988	2/18/1999
Inactive	Smith, Tony	354315	Agent - Health	2/29/1988	2/18/1999
Inactive	Smith, Tony	354315	Agent - Life	2/29/1988	2/18/1999