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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2026	12/31/2026

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
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/11/2020	2/12/2026
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