DEPARTMENT OF INSURANCE

Affiliations

Name	Burckhard-Weaver Insurance Agency Inc	DOIID	549387	NAIC NPN	7275080

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	6/19/2002	3/11/2005
Inactive	Resident	Agent	Life	9/15/2003	3/11/2005
Inactive	Resident	Agent	Health	9/15/2003	3/11/2005
Inactive	Resident	Agent	Property	6/19/2002	3/11/2005
* 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	8/9/2004	3/11/2005
Inactive	AIG Assurance Company	300897	Agent - Property	8/9/2004	3/11/2005
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	1/15/2003	3/11/2005
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	1/15/2003	3/11/2005
Inactive	American Economy Insurance Company	300315	Agent - Casualty	1/7/2004	3/11/2005
Inactive	American General Life Insurance Company	301585	Agent - Health	6/7/2004	3/11/2005
Inactive	American General Life Insurance Company	301585	Agent - Life	6/7/2004	3/11/2005
Inactive	American States Insurance Company	301230	Agent - Casualty	1/7/2004	3/11/2005
Inactive	American States Insurance Company	301230	Agent - Property	1/7/2004	3/11/2005
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/22/2003	3/11/2005
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/22/2003	3/11/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/22/2003	3/11/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/22/2003	3/11/2005
Inactive	Assurance Company of America	300432	Agent - Casualty	7/19/2002	3/11/2005
Inactive	Assurance Company of America	300432	Agent - Property	7/19/2002	3/11/2005
Inactive	Banner Life Insurance Company	301696	Agent - Life	6/4/2004	3/11/2005
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	10/21/2003	3/11/2005
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	11/18/2003	3/11/2005
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	11/18/2003	3/11/2005
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	8/31/2004	3/11/2005
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	8/31/2004	3/11/2005
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	7/22/2002	3/11/2005
Inactive	Consolidated Insurance Company	300943	Agent - Property	7/22/2002	3/11/2005
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	12/4/2003	3/11/2005
Inactive	Encompass Indemnity Company	546376	Agent - Property	12/4/2003	3/11/2005
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	1/23/2004	3/11/2005
Inactive	Encompass Insurance Company of America	556578	Agent - Property	1/23/2004	3/11/2005
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/2/2003	3/11/2005
Inactive	First National Insurance Company of America	301690	Agent - Property	10/2/2003	3/11/2005
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/7/2004	3/11/2005
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/7/2004	3/11/2005
Inactive	General Insurance Company of America	300261	Agent - Casualty	1/7/2004	3/11/2005
Inactive	General Insurance Company of America	300261	Agent - Property	1/7/2004	3/11/2005
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	7/19/2002	3/11/2005
Inactive	Glatfelter Insurance Company	301640	Agent - Property	7/19/2002	3/11/2005
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	11/18/2003	3/11/2005
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	11/18/2003	3/11/2005
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	3/25/2004	3/11/2005
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	3/25/2004	3/11/2005
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	3/25/2004	3/11/2005
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	3/25/2004	3/11/2005
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	3/25/2004	3/11/2005
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	3/25/2004	3/11/2005
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	3/25/2004	3/11/2005
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	3/25/2004	3/11/2005
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	9/15/2004	3/11/2005
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	9/15/2004	3/11/2005
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	9/15/2004	3/11/2005
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	9/15/2004	3/11/2005
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	3/25/2004	3/11/2005
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	3/25/2004	3/11/2005
Inactive	Indiana Insurance Company	301909	Agent - Casualty	6/19/2002	3/11/2005
Inactive	Indiana Insurance Company	301909	Agent - Property	6/19/2002	3/11/2005
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - Casualty	8/19/2002	12/15/2004
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - Property	8/19/2002	12/15/2004
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	9/25/2003	3/11/2005
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	9/25/2003	3/11/2005
Inactive	Maryland Casualty Company	301719	Agent - Casualty	7/19/2002	3/11/2005
Inactive	Maryland Casualty Company	301719	Agent - Property	7/19/2002	3/11/2005
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	7/22/2002	3/11/2005
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	7/22/2002	3/11/2005
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	7/19/2002	3/11/2005
Inactive	Northern Insurance Company of New York	301317	Agent - Property	7/19/2002	3/11/2005
Inactive	Peerless Insurance Company	301910	Agent - Casualty	7/22/2002	3/11/2005
Inactive	Peerless Insurance Company	301910	Agent - Property	7/22/2002	3/11/2005
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/24/2004	1/13/2005
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/24/2004	1/13/2005
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	5/21/2003	1/13/2005
Inactive	Progressive Max Insurance Company	301034	Agent - Property	5/21/2003	1/13/2005
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	4/14/2004	1/13/2005
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	4/14/2004	1/13/2005
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/2/2003	3/11/2005
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/2/2003	3/11/2005
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/2/2003	3/11/2005
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/2/2003	3/11/2005
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	3/25/2004	3/11/2005
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	3/25/2004	3/11/2005
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/31/2004	3/11/2005
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/31/2004	3/11/2005
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	6/28/2004	3/11/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	6/28/2004	3/11/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	6/28/2004	3/11/2005
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	8/31/2004	3/11/2005
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	8/31/2004	3/11/2005
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/31/2004	3/11/2005
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/31/2004	3/11/2005
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	8/31/2004	3/11/2005
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	8/31/2004	3/11/2005
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	8/31/2004	3/11/2005
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	8/31/2004	3/11/2005
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	8/31/2004	3/11/2005
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	8/31/2004	3/11/2005
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	3/25/2004	3/11/2005
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	3/25/2004	3/11/2005
Inactive	West Coast Life Insurance Company	301607	Agent - Life	10/18/2004	3/11/2005

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown, Joy Lynn	541614	Agent - Health	10/9/2003	7/1/2004
Inactive	Brown, Joy Lynn	541614	Agent - Life	10/9/2003	7/1/2004
Inactive	Burckhard, Chad Michael	512583	Agent - Casualty	8/21/2002	3/11/2005
Inactive	Burckhard, Chad Michael	512583	Agent - Property	8/21/2002	3/11/2005
Inactive	Noland, Jerel Dean	367433	Agent - Casualty	5/12/2003	3/11/2005
Inactive	Noland, Jerel Dean	367433	Agent - Property	5/12/2003	3/11/2005
Inactive	Rucker, Tina Louise	559145	Agent - Casualty	1/5/2004	3/11/2005
Inactive	Rucker, Tina Louise	559145	Agent - Property	1/5/2004	3/11/2005
Inactive	Weaver, David Wayne	387270	Agent - Casualty	6/19/2002	3/11/2005
Inactive	Weaver, David Wayne	387270	Agent - Health	9/15/2003	3/11/2005
Inactive	Weaver, David Wayne	387270	Agent - Life	9/15/2003	3/11/2005
Inactive	Weaver, David Wayne	387270	Agent - Property	6/19/2002	3/11/2005
Denied	Wilson, Jessica Melanie	555395	Agent - Casualty
Denied	Wilson, Jessica Melanie	555395	Agent - Property