DEPARTMENT OF INSURANCE

Affiliations

Name	Burnash, Sandra	DOIID	547150	NAIC NPN	7224892

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	2/21/2003	4/30/2026
Active	Resident	Agent	Property	4/25/2002	4/30/2026
Active	Resident	Agent	Casualty	4/25/2002	4/30/2026
Active	Resident	Agent	Health	3/14/2003	4/30/2026
Denied	Resident	Surplus Lines Broker	Not Applicable
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	12/23/2010	12/19/2023
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	12/23/2010	12/19/2023
Active	Allied Eastern Indemnity Company	683842	Agent - Casualty	11/25/2015
Active	American Fire and Casualty Company	300567	Agent - Casualty	11/3/2011
Active	American Fire and Casualty Company	300567	Agent - Property	11/3/2011
Active	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	2/23/2016
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	11/3/2011	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	11/3/2011	4/26/2024
Active	Eastern Advantage Assurance Company	692390	Agent - Casualty	11/25/2015
Active	Eastern Alliance Insurance Company	683841	Agent - Casualty	11/25/2015
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	6/5/2023
Active	Employers Insurance Company of Wausau	301813	Agent - Property	6/5/2023
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	1/7/2005	12/28/2007
Inactive	Encompass Indemnity Company	546376	Agent - Property	1/7/2005	12/28/2007
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	6/5/2023
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	6/5/2023
Active	General Insurance Company of America	300261	Agent - Casualty	10/9/2024
Active	General Insurance Company of America	300261	Agent - Property	10/9/2024
Inactive	Indiana Insurance Company	301909	Agent - Casualty	11/3/2011	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	11/3/2011	2/3/2023
Active	LM Insurance Corporation	301061	Agent - Casualty	6/5/2023
Active	LM Insurance Corporation	301061	Agent - Property	6/5/2023
Active	Liberty Insurance Corporation	300444	Agent - Casualty	6/5/2023
Active	Liberty Insurance Corporation	300444	Agent - Property	6/5/2023
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	6/5/2023
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	6/5/2023
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	2/1/2005	3/30/2010
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	2/1/2005	3/30/2010
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Health	2/8/2005	3/30/2010
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Life	2/8/2005	3/30/2010
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	6/1/2019
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	6/1/2019
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	11/3/2011	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	11/3/2011	4/26/2024
Active	NorthStone Insurance Company	818905	Agent - Casualty	2/23/2016
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	11/3/2011
Active	Ohio Casualty Insurance Company	301492	Agent - Property	11/3/2011
Active	Ohio Security Insurance Company	300622	Agent - Casualty	11/3/2011
Active	Ohio Security Insurance Company	300622	Agent - Property	11/3/2011
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	11/3/2011
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	11/3/2011
Active	Peerless Insurance Company	301910	Agent - Casualty	11/3/2011
Active	Peerless Insurance Company	301910	Agent - Property	11/3/2011
Active	PinnaclePoint Insurance Company	819085	Agent - Casualty	2/23/2016
Inactive	Plaza Insurance Company	300748	Agent - Casualty	12/16/2016	12/16/2021
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	9/24/2004	4/6/2010
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	9/24/2004	4/6/2010
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	9/24/2004	4/6/2010
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	9/24/2004	4/6/2010
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	4/25/2002	10/26/2004
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	4/25/2002	10/26/2004
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	4/25/2002	10/26/2004
Inactive	State Farm General Insurance Company	301122	Agent - Property	4/25/2002	10/26/2004
Inactive	State Farm Life Insurance Company	301810	Agent - Life	2/21/2003	12/19/2006
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	4/25/2002	10/26/2004
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	3/14/2003	12/19/2006
Active	SummitPoint Insurance Company	819084	Agent - Casualty	2/23/2016
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	4/29/2009	3/30/2010
Inactive	Wausau Business Insurance Company	301476	Agent - Property	4/29/2009	3/30/2010
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	4/29/2009	3/30/2010
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	4/29/2009	3/30/2010
Active	West American Insurance Company	301112	Agent - Casualty	11/3/2011
Active	West American Insurance Company	301112	Agent - Property	11/3/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	4/3/2018
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	4/3/2018
Denied	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Health
Denied	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Life
Inactive	KMA Insurance Agency Inc.	401270	Agent - Casualty	9/13/2004	1/25/2005
Inactive	KMA Insurance Agency Inc.	401270	Agent - Property	9/13/2004	1/25/2005
Inactive	KMA Insurance Agency Inc.	401270	Agent - Health	9/13/2004	1/25/2005
Inactive	KMA Insurance Agency Inc.	401270	Agent - Life	9/13/2004	1/25/2005