DEPARTMENT OF INSURANCE

Affiliations

Name	Burkhead, Nicholas Dewey	DOIID	501785	NAIC NPN	7210934

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	9/2/2010	10/1/2013
Inactive	Resident	Agent	General Lines	2/1/2000	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	10/1/2013
Inactive	Resident	Agent	Life	11/18/2008	10/1/2013
Inactive	Resident	Agent	Vehicle Physical Damage	3/31/2000	9/30/2015
Inactive	Resident	Agent	Casualty	8/15/2000	10/1/2013
* 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	3/22/2005	7/14/2010
Inactive	AIG Assurance Company	300897	Agent - General Lines	3/27/2000	8/15/2000
Inactive	AIG Assurance Company	300897	Agent - Property	3/22/2005	7/14/2010
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	3/21/2011	7/8/2011
Inactive	Allstate Indemnity Company	300778	Agent - Property	3/21/2011	7/8/2011
Inactive	Allstate Insurance Company	300773	Agent - Casualty	3/21/2011	7/8/2011
Inactive	Allstate Insurance Company	300773	Agent - Property	3/21/2011	7/8/2011
Inactive	Allstate Northbrook Indemnity Company	301309	Agent - Casualty	2/8/2002	8/25/2003
Inactive	Allstate Northbrook Indemnity Company	301309	Agent - Property	2/8/2002	8/22/2003
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	3/21/2011	7/8/2011
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	3/21/2011	7/8/2011
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	2/8/2002	9/25/2010
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	2/8/2002	9/25/2010
Inactive	American Continental Insurance Company	643130	Agent - Health	9/20/2010	10/1/2013
Inactive	American Continental Insurance Company	643130	Agent - Life	9/20/2010	10/1/2013
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	12/27/2006	6/28/2011
Inactive	Bristol West Insurance Company	301655	Agent - Property	12/27/2006	6/28/2011
Denied	Conseco Health Insurance Company	301725	Agent - Health
Denied	Conseco Health Insurance Company	301725	Agent - Life
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/20/2010	10/1/2013
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	9/20/2010	10/1/2013
Inactive	Countryway Insurance Company	300809	Agent - Casualty	8/15/2000	6/20/2011
Inactive	Countryway Insurance Company	300809	Agent - General Lines	2/1/2000	8/15/2000
Inactive	Countryway Insurance Company	300809	Agent - Property	8/15/2000	6/20/2011
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	2/14/2005	6/17/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/5/2010	6/29/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/21/2003	6/28/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/21/2003	6/28/2011
Inactive	Granite State Insurance Company	300818	Agent - Casualty	2/26/2001	7/14/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	2/26/2001	7/14/2010
Inactive	GuideOne Specialty Insurance Company	300278	Agent - General Lines	3/24/2000	5/15/2000
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/5/2010	6/29/2011
Inactive	Humana Insurance Company	301104	Agent - Health	9/13/2010	6/29/2011
Inactive	Humana Insurance Company	301104	Agent - Life	9/13/2010	6/29/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/5/2010	6/29/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/5/2010	6/29/2011
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/10/2007	7/14/2010
Inactive	Illinois National Insurance Company	301367	Agent - General Lines	3/27/2000	8/15/2000
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/10/2007	7/14/2010
Inactive	Infinity Standard Insurance Company	301643	Agent - Casualty	7/16/2001	10/15/2004
Inactive	Infinity Standard Insurance Company	301643	Agent - Property	7/16/2001	10/15/2004
Inactive	Omni Indemnity Company	301456	Agent - Casualty	8/15/2001	10/8/2009
Inactive	Omni Indemnity Company	301456	Agent - Property	8/15/2001	10/8/2009
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	7/14/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	7/14/2010
Inactive	South Carolina Insurance Company	300080	Agent - Vehicle Physical Damage	3/31/2000	4/1/2005
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	7/15/2011	12/5/2011
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	7/15/2011	12/5/2011
Inactive	State Farm Life Insurance Company	301810	Agent - Life	7/15/2011	12/5/2011
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	7/15/2011	12/5/2011
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	7/15/2011	12/5/2011
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	2/23/2009	3/2/2009
Denied	Trumbull Insurance Company	300242	Agent - Casualty
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/15/2001	10/1/2013
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	2/16/2007	6/28/2011
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	2/16/2007	6/28/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Auto Insurance Connection	517892	Agent - Property	8/15/2000	2/19/2002
Inactive	Auto Insurance Connection	517892	Agent - Casualty	8/15/2000	2/20/2004
Inactive	Auto Insurance Plus, LLC	399598	Agent - Property	11/13/2003	3/31/2012
Inactive	Auto Insurance Plus, LLC	399598	Agent - Casualty	11/13/2003	7/8/2011
Inactive	Autoinsurance Network, Inc.	398917	Agent - General Lines	2/23/2000	5/4/2000
Inactive	Swisher Insurance Agency of Shelby County, LLC	589335	Agent - Property	1/19/2005	3/31/2006
Inactive	Swisher Insurance Agency of Shelby County, LLC	589335	Agent - Casualty	1/19/2005	3/31/2006
Inactive	Thoroughbred Agency, Inc.	558022	Agent - Property	6/9/2003	11/9/2009
Inactive	Thoroughbred Agency, Inc.	558022	Agent - Casualty	6/9/2003	11/9/2009