DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burris III, William Matthew	DOIID	511534	NAIC NPN	3429285

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/15/2000	6/30/2007
Inactive	Non Resident	Agent	Health	9/15/2000	6/30/2007
Inactive	Non Resident	Agent	Casualty	8/19/2002	6/30/2007
Inactive	Non Resident	Agent	Property	8/19/2002	6/30/2007
* 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	21st Century North America Insurance Company	300884	Agent - Casualty	8/19/2002	7/9/2003
Inactive	21st Century North America Insurance Company	300884	Agent - Property	8/19/2002	7/9/2003
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	9/15/2000	2/5/2003
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	9/15/2000	2/5/2003
Inactive	American International Life Assurance Co. of NY	300433	Agent - Life	6/17/2002	11/13/2002
Inactive	Continental Casualty Company	301019	Agent - Health	7/17/2001	12/2/2004
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/26/2004	6/30/2007
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	1/26/2004	6/30/2007
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	3/11/2002	1/6/2004
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	3/11/2002	1/6/2004
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	1/26/2004	6/30/2007
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	1/26/2004	6/30/2007
Inactive	Western National Life Insurance Company	300461	Agent - Life	6/17/2002	7/21/2003
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	7/17/2001	12/2/2004
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	7/17/2001	12/2/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	IFIA Ins Services Inc	502146	Agent - Life	11/1/2000	6/30/2007
Inactive	IFIA Ins Services Inc	502146	Agent - Health	11/1/2000	6/30/2007
Denied	IFIA Ins Services Inc	502146	Agent - Casualty
Denied	IFIA Ins Services Inc	502146	Agent - Property