DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burman, Jeffrey L	DOIID	631458	NAIC NPN	2168006

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/5/2006		9/30/2026
Active	Non Resident	Agent	Life	5/5/2006		9/30/2026
* 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
Active	Guarantee Trust Life Insurance Company	301043	Agent - Health	6/7/2006
Active	Guarantee Trust Life Insurance Company	301043	Agent - Life	6/7/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Cornerstone Senior Services LLC	399590	Agent - Health	9/15/2006
Active	Cornerstone Senior Services LLC	399590	Agent - Life	9/15/2006
Active	Guarantee Management Services LLC	502047	Agent - Health	6/14/2022
Active	Guarantee Management Services LLC	502047	Agent - Life	6/14/2022
Inactive	I-Net Ins Group LLC	659820	Agent - Health	7/18/2007	3/8/2013
Inactive	I-Net Ins Group LLC	659820	Agent - Life	7/18/2007	3/8/2013