DEPARTMENT OF INSURANCE

Affiliations

Name	Hurst, Burlis Jay	DOIID	594504	NAIC NPN	8209798

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	8/31/2004	11/30/2026
Active	Resident	Agent	Life	9/15/2004	11/30/2026
Active	Resident	Agent	Health	9/21/2004	11/30/2026
Active	Resident	Agent	Property	8/31/2004	11/30/2026
* 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 Home Insurance Company	300791	Agent - Casualty	7/23/2015	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	7/23/2015	11/14/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	7/9/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	7/9/2020
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/23/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/23/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/23/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/23/2015	11/14/2021
Active	American Strategic Insurance Corp	883540	Agent - Casualty	7/26/2020
Active	American Strategic Insurance Corp	883540	Agent - Property	7/26/2020
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	10/22/2018	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/22/2018	12/20/2024
Active	Dairyland Insurance Company	301370	Agent - Casualty	10/28/2004
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/6/2009
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/6/2009
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/16/2005
Active	Progressive Casualty Insurance Company	300696	Agent - Property	11/16/2005
Active	Progressive Northern Insurance Company	301378	Agent - Casualty	5/31/2017
Active	Progressive Northern Insurance Company	301378	Agent - Property	5/31/2017
Active	Shelter General Insurance Company	301109	Agent - Casualty	8/31/2004
Active	Shelter General Insurance Company	301109	Agent - Property	8/31/2004
Active	Shelter Life Insurance Company	300391	Agent - Health	9/21/2004
Active	Shelter Life Insurance Company	300391	Agent - Life	9/15/2004
Active	Shelter Mutual Insurance Company	301870	Agent - Casualty	8/31/2004
Active	Shelter Mutual Insurance Company	301870	Agent - Property	8/31/2004
Active	United Financial Casualty Company	301886	Agent - Casualty	6/14/2010
Active	United Financial Casualty Company	301886	Agent - Property	6/14/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Daniel Boone Agency, LLC.	515760	Agent - Casualty	1/18/2005
Active	Daniel Boone Agency, LLC.	515760	Agent - Property	1/18/2005
Active	Daniel Boone Agency, LLC.	515760	Agent - Health	1/18/2005
Active	Daniel Boone Agency, LLC.	515760	Agent - Life	1/18/2005
Active	Hurst Insurance Agency Inc	902144	Agent - Casualty	12/18/2015
Active	Hurst Insurance Agency Inc	902144	Agent - Property	12/18/2015
Active	Hurst Insurance Agency Inc	902144	Agent - Health	12/18/2015
Active	Hurst Insurance Agency Inc	902144	Agent - Life	12/18/2015