DEPARTMENT OF INSURANCE

Affiliations

Name	Burnett, Thomas	DOIID	608991	NAIC NPN	8472678

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	5/26/2005	12/31/2026
Active	Non Resident	Agent	Health	5/26/2005	12/31/2026
* 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 Equity Investment Life Insurance Company	300389	Agent - Life	1/10/2006	12/22/2009
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/10/2016
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/10/2016
Active	American General Life Insurance Company	301585	Agent - Health	3/26/2021
Active	American General Life Insurance Company	301585	Agent - Life	3/26/2021
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	3/19/2021	6/7/2022
Inactive	Assurity Life Insurance Company	301099	Agent - Health	3/17/2006	11/29/2006
Inactive	Assurity Life Insurance Company	301099	Agent - Life	3/17/2006	11/29/2006
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	11/21/2005	10/15/2010
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	5/26/2005	9/30/2005
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	5/26/2005	9/30/2005
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/11/2020
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	6/9/2005	9/30/2005
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	6/9/2005	9/30/2005
Active	Combined Insurance Company of America	301472	Agent - Health	9/17/2018
Active	Combined Insurance Company of America	301472	Agent - Life	9/17/2018
Inactive	Continental American Insurance Company	301700	Agent - Health	4/21/2010	10/15/2010
Inactive	Continental American Insurance Company	301700	Agent - Life	4/21/2010	10/15/2010
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/4/2005	1/18/2008
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	11/4/2005	1/18/2008
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	7/7/2021	11/11/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/30/2006	12/19/2009
Inactive	Humana Insurance Company	301104	Agent - Health	3/30/2006	12/19/2009
Inactive	Humana Insurance Company	301104	Agent - Life	3/30/2006	12/19/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/30/2006	12/19/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/30/2006	12/19/2009
Inactive	Independent Order of Foresters	300743	Agent - Life	3/29/2006	12/22/2008
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	1/30/2006	9/14/2006
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	1/30/2006	9/14/2006
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	11/4/2005	3/2/2007
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	11/4/2005	3/2/2007
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	12/7/2005	3/31/2009
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	12/7/2005	12/21/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Health	5/31/2006	12/17/2015
Inactive	Medlink Inc	400721	Agent - Life	5/31/2006	12/17/2015