DEPARTMENT OF INSURANCE

Affiliations

Name	Burnham Insurance Group, Inc.	DOIID	533935	NAIC NPN	3389197

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	7/13/2001	5/31/2004
Inactive	Non Resident	Agent	Health	7/13/2001	5/31/2004
Inactive	Non Resident	Agent	Property	10/28/2002	5/31/2004
Inactive	Non Resident	Agent	Casualty	10/28/2002	5/31/2004
* 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	American United Life Insurance Company	300498	Agent - Health	7/19/2002	5/31/2004
Inactive	American United Life Insurance Company	300498	Agent - Life	7/19/2002	5/31/2004
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	7/13/2001	1/16/2002
Inactive	Cincinnati Insurance Company	301298	Agent - Property	7/13/2001	1/16/2002
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	7/13/2001	2/18/2004
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	7/13/2001	2/18/2004
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	1/14/2003	5/31/2004
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	1/14/2003	5/31/2004
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	1/14/2003	5/31/2004
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	1/14/2003	5/31/2004
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	1/14/2003	5/31/2004
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	1/14/2003	5/31/2004
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	1/14/2003	5/31/2004
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	1/14/2003	5/31/2004
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	1/14/2003	5/31/2004
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	1/14/2003	5/31/2004
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	12/3/2003	5/31/2004
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	12/3/2003	5/31/2004
Inactive	Ohio Indemnity Company	301745	Agent - Casualty	10/28/2002	5/31/2004
Inactive	Ohio Indemnity Company	301745	Agent - Property	10/28/2002	5/31/2004
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	1/14/2003	5/31/2004
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	1/14/2003	5/31/2004

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Avery, John Stieler	312239	Agent - Health	7/13/2001	5/31/2004
Inactive	Avery, John Stieler	312239	Agent - Life	7/13/2001	5/31/2004
Inactive	Stowe, Harry R.	523761	Agent - Casualty	7/13/2001	1/16/2002
Inactive	Stowe, Harry R.	523761	Agent - Property	7/13/2001	1/16/2002
Inactive	Stuepfert, Jeffrey A	355453	Agent - Casualty	10/28/2002	5/31/2004
Inactive	Stuepfert, Jeffrey A	355453	Agent - Property	10/28/2002	5/31/2004