DEPARTMENT OF INSURANCE

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	Life	5/5/2006		9/30/2026
Active	Non Resident	Agent	Health	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024	07/16/2024	07/16/2024	Yes

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