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	Health	9/21/2004	11/30/2024
Active	Resident	Agent	Casualty	8/31/2004	11/30/2024
Active	Resident	Agent	Property	8/31/2004	11/30/2024
Active	Resident	Agent	Life	9/15/2004	11/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2024	11/30/2024

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
Active	Bristol West Insurance Company	301655	Agent - Casualty	10/22/2018
Active	Bristol West Insurance Company	301655	Agent - Property	10/22/2018
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