DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burnette, John Timothy	DOIID	634164	NAIC NPN	1683925

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/15/2006	11/30/2016
Inactive	Non Resident	Agent	Casualty	6/15/2006	11/30/2016
Inactive	Non Resident	Agent	Health	6/15/2006	11/30/2016
Inactive	Non Resident	Agent	Life	6/15/2006	11/30/2016
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	8/9/2011	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/9/2011	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/9/2011	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	8/9/2011	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	8/9/2011	12/8/2015
Inactive	HumanaDental Insurance Company	301457	Agent - Health	8/9/2011	2/22/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	8/9/2011	2/22/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/9/2011	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/9/2011	10/22/2015
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/20/2006	1/29/2017
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	9/4/2013	11/30/2016
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	8/22/2013	11/30/2016
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	8/22/2013	11/30/2016
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	5/23/2007	12/9/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	5/23/2007	12/9/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	2/23/2007	12/9/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	2/23/2007	12/9/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/20/2006	1/29/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/20/2006	1/29/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Molton Allen & Williams Llc	597624	Agent - Life	2/28/2007	3/31/2016
Inactive	Molton Allen & Williams Llc	597624	Agent - Health	2/28/2007	3/31/2016
Inactive	Molton Allen & Williams Llc	597624	Agent - Property	2/28/2007	3/31/2016
Inactive	Molton Allen & Williams Llc	597624	Agent - Casualty	2/28/2007	3/31/2016
Inactive	Usi Insurance Services LLC	669260	Agent - Life	3/26/2014	7/19/2016
Inactive	Usi Insurance Services LLC	669260	Agent - Health	3/26/2014	7/19/2016
Denied	Usi Insurance Services LLC	669260	Agent - Property
Denied	Usi Insurance Services LLC	669260	Agent - Casualty