DEPARTMENT OF INSURANCE

Affiliations

Name	Burgett, Jennifer L.	DOIID	574374	NAIC NPN	7824087

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	12/10/2003	4/30/2008
Inactive	Resident	Agent	Health	10/14/2003	4/30/2008
* 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	AF&L Insurance Company	301582	Agent - Health	2/2/2004	12/1/2006
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/2/2004	12/19/2006
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	3/2/2004	2/2/2005
Inactive	Cigna National Health Insurance Company	300235	Agent - Health	1/27/2004	4/30/2008
Inactive	Cigna National Health Insurance Company	300235	Agent - Life	1/27/2004	4/30/2008
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/3/2003	4/30/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/27/2005	6/19/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/27/2005	6/19/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/4/2006	4/30/2008
Inactive	Humana Insurance Company	301104	Agent - Health	5/4/2006	4/30/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/4/2006	4/30/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	5/4/2004	6/7/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	5/4/2004	6/7/2008
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	6/13/2006	10/29/2007
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	6/13/2006	10/29/2007
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/14/2004	10/15/2007
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Health	7/26/2005	5/7/2008
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Life	7/26/2005	5/7/2008
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	2/6/2004	2/4/2005
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	2/6/2004	2/4/2005
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	5/10/2004	4/30/2008
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	5/10/2004	4/30/2008
Inactive	Senior Life Insurance Company	558267	Agent - Life	8/25/2004	11/8/2004
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	4/12/2004	4/30/2008
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	4/12/2004	4/30/2008
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	10/14/2003	1/13/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Seniors Financial Group, Inc.	544154	Agent - Health	8/28/2006	4/17/2008
Inactive	American Seniors Financial Group, Inc.	544154	Agent - Life	8/28/2006	4/17/2008