DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burton, Michael Chase	DOIID	594490	NAIC NPN	8209768

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	5/7/2010	7/1/2010
Inactive	Resident	Agent	Property	7/11/2005	7/1/2014
Inactive	Resident	Agent	Casualty	7/18/2005	7/1/2014
Inactive	Resident	Agent	Life	9/7/2004	7/1/2014
Inactive	Resident	Agent	Health	12/23/2004	7/1/2014
Inactive	Resident	Staff Adjuster	Property & Casualty	7/1/2010	6/30/2014
* 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 Heritage Life Insurance Company	300272	Agent - Health	3/25/2005	1/3/2013
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	3/25/2005	1/3/2013
Inactive	Everlake Life Insurance Company	300873	Agent - Health	4/6/2005	7/31/2008
Inactive	Everlake Life Insurance Company	300873	Agent - Life	4/6/2005	7/31/2008
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	5/19/2005	7/31/2008
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	5/19/2005	7/31/2008
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	10/8/2013	10/30/2013
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	10/8/2013	10/30/2013
Inactive	State Farm Life Insurance Company	301810	Agent - Life	10/8/2013	10/30/2013
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	10/8/2013	10/30/2013
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	10/8/2013	10/30/2013
Inactive	Time Insurance Company	300683	Agent - Health	10/8/2013	10/30/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mike Todd Financial Services, Inc.	535244	Agent - Health	7/2/2010	1/3/2013
Inactive	Mike Todd Financial Services, Inc.	535244	Agent - Life	3/25/2005	1/3/2013