DEPARTMENT OF INSURANCE
Affiliations
NameBurckhard, Chad MichaelDOIID512583NAIC NPN7214292
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentCasualty6/25/20151/1/2017 
InactiveResidentAgentHealth6/29/20151/1/2017 
InactiveResidentAgentVariable Life and Variable Annuities4/3/20076/18/2009 
InactiveResidentAgentProperty6/25/20151/1/2017 
InactiveResidentAgentLife6/29/20151/1/2017 
DeniedResidentSurplus Lines BrokerNot Applicable   
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveACUITY, A Mutual Insurance Company300095Agent - Casualty1/13/20147/21/2014
InactiveACUITY, A Mutual Insurance Company300095Agent - Property1/13/20147/21/2014
InactiveAIG Assurance Company300897Agent - Casualty8/9/20044/24/2006
InactiveAIG Assurance Company300897Agent - Property8/9/20044/24/2006
InactiveAllianz Life Insurance Company of North America301791Agent - Health1/10/200710/20/2008
InactiveAllianz Life Insurance Company of North America301791Agent - Life1/10/200710/20/2008
InactiveAllstate Indemnity Company300778Agent - Casualty5/22/200710/19/2007
InactiveAllstate Indemnity Company300778Agent - Property5/22/200710/19/2007
InactiveAllstate Insurance Company300773Agent - Casualty5/22/200710/19/2007
InactiveAllstate Insurance Company300773Agent - Property5/22/200710/19/2007
InactiveAllstate Property and Casualty Insurance Company300593Agent - Casualty5/22/200710/19/2007
InactiveAllstate Property and Casualty Insurance Company300593Agent - Property5/22/200710/19/2007
InactiveAmerican Heritage Life Insurance Company300272Agent - Health8/29/200511/28/2007
InactiveAmerican Heritage Life Insurance Company300272Agent - Life8/29/200511/28/2007
InactiveAmerican Manufacturers Mutual Insurance Company301807Agent - Casualty10/2/20025/31/2003
InactiveAmerican Manufacturers Mutual Insurance Company301807Agent - Property10/2/20025/31/2003
InactiveAmerican Motorists Insurance Company301212Agent - Casualty10/10/20025/31/2003
InactiveAmerican Motorists Insurance Company301212Agent - Property10/10/20025/31/2003
InactiveAmerican National General Insurance Company301944Agent - Casualty9/10/20125/28/2013
InactiveAmerican National General Insurance Company301944Agent - Property9/10/20125/28/2013
InactiveAmerican National Insurance Company301861Agent - Health9/6/20125/28/2013
InactiveAmerican National Insurance Company301861Agent - Life9/6/20125/28/2013
InactiveAmerican National Property and Casualty Company300392Agent - Casualty9/10/20125/28/2013
InactiveAmerican National Property and Casualty Company300392Agent - Property9/10/20125/28/2013
InactiveAmeritas Life Insurance Corporation300126Agent - Health9/30/20056/18/2009
InactiveAmeritas Life Insurance Corporation300126Agent - Life9/30/20056/18/2009
InactiveAssurance Company of America300432Agent - Casualty7/19/20027/5/2006
InactiveAssurance Company of America300432Agent - Property7/19/20027/5/2006
InactiveAssurity Life Insurance Company301099Agent - Health5/30/20067/5/2006
InactiveAssurity Life Insurance Company301099Agent - Life5/30/20067/5/2006
InactiveBristol West Insurance Company301655Agent - Casualty10/25/20076/18/2009
InactiveBristol West Insurance Company301655Agent - Property10/25/20076/18/2009
InactiveConsolidated Insurance Company300943Agent - Casualty9/20/20027/5/2006
InactiveConsolidated Insurance Company300943Agent - Property9/20/20027/5/2006
InactiveDairyland Insurance Company301370Agent - Casualty2/13/20035/23/2005
InactiveDental Concern Inc. (The)301641Agent - Health3/21/20096/18/2009
InactiveEmployers Mutual Casualty Company300202Agent - Casualty3/16/20096/18/2009
InactiveEmployers Mutual Casualty Company300202Agent - Property3/16/20096/18/2009
InactiveEncompass Insurance Company of America556578Agent - Casualty1/26/20043/21/2006
InactiveEncompass Insurance Company of America556578Agent - Property1/26/20043/21/2006
InactiveEverlake Life Insurance Company300873Agent - Health5/22/200710/19/2007
InactiveEverlake Life Insurance Company300873Agent - Life5/22/200710/19/2007
InactiveFirst National Insurance Company of America301690Agent - Casualty10/7/20086/18/2009
InactiveFirst National Insurance Company of America301690Agent - Property10/7/20086/18/2009
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty1/31/20148/7/2014
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property1/31/20148/7/2014
InactiveFortitude Life Insurance & Annuity Company301503Agent - Health4/19/20076/18/2009
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life4/19/20076/18/2009
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities4/19/20076/18/2009
InactiveGeneral Insurance Company of America300261Agent - Casualty10/7/20086/18/2009
InactiveGeneral Insurance Company of America300261Agent - Property10/7/20086/18/2009
InactiveGenworth Life Insurance Company300623Agent - Health5/24/20066/18/2009
InactiveGenworth Life Insurance Company300623Agent - Life5/24/20066/18/2009
InactiveGlatfelter Insurance Company301640Agent - Casualty7/19/20027/5/2006
InactiveGlatfelter Insurance Company301640Agent - Property7/19/20027/5/2006
InactiveGolden Rule Insurance Company301943Agent - Health4/20/200611/10/2008
InactiveGolden Rule Insurance Company301943Agent - Life4/20/200611/10/2008
InactiveGranite State Insurance Company300818Agent - Casualty6/29/20054/24/2006
InactiveGranite State Insurance Company300818Agent - Property6/29/20054/24/2006
InactiveHamilton Mutual Insurance Company301111Agent - Casualty3/16/20096/18/2009
InactiveHamilton Mutual Insurance Company301111Agent - Property3/16/20096/18/2009
InactiveHartford Accident and Indemnity Company301917Agent - Casualty8/22/20023/13/2006
InactiveHartford Accident and Indemnity Company301917Agent - Property8/22/20023/13/2006
InactiveHartford Casualty Insurance Company301332Agent - Casualty8/22/20023/13/2006
InactiveHartford Casualty Insurance Company301332Agent - Property8/22/20023/13/2006
InactiveHartford Fire Insurance Company300628Agent - Casualty8/22/20023/13/2006
InactiveHartford Fire Insurance Company300628Agent - Property8/22/20023/13/2006
InactiveHartford Insurance Company of the Midwest301918Agent - Casualty8/22/20023/13/2006
InactiveHartford Insurance Company of the Midwest301918Agent - Property8/22/20023/13/2006
InactiveHartford Underwriters Insurance Company301064Agent - Casualty8/22/20023/13/2006
InactiveHartford Underwriters Insurance Company301064Agent - Property8/22/20023/13/2006
InactiveHumana Health Plan, Inc.300142Agent - Health3/20/20096/18/2009
InactiveHumana Insurance Company301104Agent - Health2/20/20076/18/2009
InactiveHumana Insurance Company301104Agent - Life2/20/20076/18/2009
InactiveHumana Insurance Company of Kentucky300826Agent - Health2/20/20076/18/2009
InactiveHumana Insurance Company of Kentucky300826Agent - Life2/20/20076/18/2009
InactiveHumanaDental Insurance Company301457Agent - Health2/20/20076/18/2009
InactiveHumanaDental Insurance Company301457Agent - Life2/20/20076/18/2009
InactiveIndiana Insurance Company301909Agent - Casualty7/2/20027/5/2006
InactiveIndiana Insurance Company301909Agent - Property7/2/20027/5/2006
InactiveKansas City Fire and Marine Insurance Company301936Agent - Casualty8/19/200212/20/2004
InactiveKansas City Fire and Marine Insurance Company301936Agent - Property8/19/200212/20/2004
InactiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Casualty6/30/20153/28/2016
InactiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Health6/30/20153/28/2016
InactiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Property6/30/20153/28/2016
InactiveLincoln Benefit Life Company301110Agent - Health5/22/200710/19/2007
InactiveLincoln Benefit Life Company301110Agent - Life5/22/200710/19/2007
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities4/11/200710/19/2007
InactiveLumbermens Mutual Casualty Company301119Agent - Casualty10/2/20025/31/2003
InactiveLumbermens Mutual Casualty Company301119Agent - Property10/2/20025/31/2003
InactiveMaryland Casualty Company301719Agent - Casualty7/19/20027/5/2006
InactiveMaryland Casualty Company301719Agent - Property7/19/20027/5/2006
InactiveMedAmerica Insurance Company301568Agent - Health1/5/20076/18/2009
InactiveNYLIFE Insurance Company of Arizona301642Agent - Health8/10/20078/18/2008
InactiveNYLIFE Insurance Company of Arizona301642Agent - Life8/10/20078/18/2008
InactiveNetherlands Insurance Company (The)300339Agent - Casualty9/20/20027/5/2006
InactiveNetherlands Insurance Company (The)300339Agent - Property9/20/20027/5/2006
InactiveNew York Life Insurance Company300431Agent - Health8/10/20078/18/2008
InactiveNew York Life Insurance Company300431Agent - Life8/10/20078/18/2008
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Health8/10/20078/18/2008
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life8/10/20078/18/2008
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities8/10/20078/18/2008
InactiveNorthern Insurance Company of New York301317Agent - Casualty7/19/20027/5/2006
InactiveNorthern Insurance Company of New York301317Agent - Property7/19/20027/5/2006
InactiveOhio Casualty Insurance Company301492Agent - Casualty11/7/20076/18/2009
InactiveOhio Casualty Insurance Company301492Agent - Property11/7/20076/18/2009
InactiveOmni Indemnity Company301456Agent - Casualty8/22/20023/13/2006
InactiveOmni Indemnity Company301456Agent - Property8/22/20023/13/2006
InactivePeerless Insurance Company301910Agent - Casualty9/20/20027/5/2006
InactivePeerless Insurance Company301910Agent - Property9/20/20027/5/2006
InactivePrincipal Life Insurance Company300129Agent - Health5/17/20067/5/2006
InactivePrincipal Life Insurance Company300129Agent - Life5/17/20067/5/2006
InactiveProAssurance Casualty Company300928Agent - Casualty5/13/20057/5/2006
InactivePrudential Insurance Company of America300784Agent - Health5/24/20066/18/2009
InactivePrudential Insurance Company of America300784Agent - Life5/24/20066/18/2009
InactivePrudential Insurance Company of America300784Agent - Variable Life and Variable Annuities10/19/20076/18/2009
InactiveSAFECO Insurance Company of America300159Agent - Casualty10/7/20086/18/2009
InactiveSAFECO Insurance Company of America300159Agent - Property10/7/20086/18/2009
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty10/7/20086/18/2009
InactiveSAFECO Insurance Company of Illinois301350Agent - Property10/7/20086/18/2009
InactiveSentinel Insurance Company, Limited501696Agent - Casualty1/17/20053/13/2006
InactiveSentinel Insurance Company, Limited501696Agent - Property1/17/20053/13/2006
DeniedShelter Life Insurance Company300391Agent - Health  
DeniedShelter Life Insurance Company300391Agent - Life  
InactiveShelter Mutual Insurance Company301870Agent - Casualty12/11/20013/6/2002
InactiveShelter Mutual Insurance Company301870Agent - Property11/13/20013/6/2002
InactiveSouthern Farm Bureau Life Insurance Company300909Agent - Health7/6/20153/28/2016
InactiveSouthern Farm Bureau Life Insurance Company300909Agent - Life7/6/20153/28/2016
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty12/17/20131/1/2015
InactiveState Automobile Mutual Insurance Company301824Agent - Property12/17/20131/1/2015
InactiveTalcott Resolution Life Insurance Company301759Agent - Health12/10/20076/18/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Life12/10/20076/18/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities12/10/20076/18/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health12/10/20076/18/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life12/10/20076/18/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities12/10/20076/18/2009
InactiveTravelers Indemnity Company (The)301855Agent - Casualty2/15/20057/5/2006
InactiveTravelers Indemnity Company (The)301855Agent - Property2/15/20057/5/2006
InactiveTrumbull Insurance Company300242Agent - Casualty8/22/20023/13/2006
InactiveTrumbull Insurance Company300242Agent - Property8/22/20023/13/2006
InactiveTwin City Fire Insurance Company300721Agent - Casualty8/22/20023/13/2006
InactiveTwin City Fire Insurance Company300721Agent - Property8/22/20023/13/2006
InactiveUnitrin Auto and Home Insurance Company301538Agent - Casualty9/7/20047/5/2006
InactiveUnitrin Auto and Home Insurance Company301538Agent - Property9/7/20047/5/2006
InactiveUnitrin Preferred Insurance Company502869Agent - Casualty9/7/20047/5/2006
InactiveUnitrin Preferred Insurance Company502869Agent - Property9/7/20047/5/2006
InactiveWestfield Insurance Company301950Agent - Casualty1/15/20147/22/2014
InactiveWestfield Insurance Company301950Agent - Property1/15/20147/22/2014
Inactive301729Agent - Casualty10/2/20025/31/2003
Inactive301729Agent - Property10/2/20025/31/2003
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBurckhard-Weaver Insurance Agency Inc549387Agent - Property8/21/20023/11/2005
InactiveBurckhard-Weaver Insurance Agency Inc549387Agent - Casualty8/21/20023/11/2005
InactiveDesignated Agent Company Inc.681257Agent - Health10/29/20153/28/2016
InactiveGeny Insurance Group, LLC800421Agent - Property12/17/20137/18/2014
InactiveGeny Insurance Group, LLC800421Agent - Casualty12/17/20137/18/2014
InactiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Health6/30/20153/23/2016
InactiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Life7/6/20153/23/2016
InactiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Property6/30/20153/23/2016
InactiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Casualty6/30/20153/23/2016
InactiveNYLIFE Securities, LLC645470Agent - Variable Life and Variable Annuities3/4/20088/14/2008
InactiveNeace Lukens, Inc.398909Agent - Property2/18/20056/29/2005
InactiveNeace Lukens, Inc.398909Agent - Casualty2/18/20056/29/2005

© Commonwealth of Kentucky. All rights reserved.