DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burnett, Melanie Kay	DOIID	584165	NAIC NPN	4883081

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	2/21/2008	4/30/2014
Inactive	Non Resident	Agent	Property	2/21/2008	4/30/2014
* 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 Modern Select Insurance Company	581481	Agent - Casualty	12/20/2012	4/30/2014
Inactive	American Modern Select Insurance Company	581481	Agent - Property	12/20/2012	4/30/2014
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	12/20/2012	4/30/2014
Inactive	American Southern Home Insurance Company	626276	Agent - Property	12/20/2012	4/30/2014
Inactive	Armed Forces Insurance Exchange	301448	Agent - Casualty	2/28/2008	9/6/2013
Inactive	Armed Forces Insurance Exchange	301448	Agent - Property	2/28/2008	9/6/2013
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	7/26/2012	4/30/2014
Inactive	Bristol West Insurance Company	301655	Agent - Property	7/26/2012	4/30/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/26/2012	4/30/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/26/2012	4/30/2014
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	5/6/2004	12/7/2007
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	5/6/2004	12/7/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	5/6/2004	12/7/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	5/6/2004	12/7/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Armed Forces Ins Agency Inc -000	553779	Agent - Casualty	5/14/2008	9/11/2013
Inactive	Armed Forces Ins Agency Inc -000	553779	Agent - Property	5/14/2008	9/11/2013