DEPARTMENT OF INSURANCE

Affiliations

Name	Burger, Shawn B	DOIID	655433	NAIC NPN	8263175

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	8/1/2007	2/28/2014
Inactive	Non Resident	Agent	Property	5/14/2007	2/28/2014
Inactive	Non Resident	Agent	Health	8/1/2007	2/28/2014
Inactive	Non Resident	Agent	Casualty	5/14/2007	2/28/2014
* 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 Zurich Insurance Company	300592	Agent - Casualty	6/25/2007	2/12/2014
Inactive	American Zurich Insurance Company	300592	Agent - Property	6/25/2007	2/12/2014
Inactive	Assurance Company of America	300432	Agent - Casualty	6/25/2007	2/12/2014
Inactive	Assurance Company of America	300432	Agent - Property	6/25/2007	2/12/2014
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	7/20/2007	12/18/2013
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	10/11/2010	2/12/2014
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	10/11/2010	2/12/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/15/2012	2/28/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/15/2012	2/28/2014
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	10/15/2012	2/28/2014
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	10/15/2012	2/28/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	10/15/2012	2/28/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	10/15/2012	2/28/2014
Inactive	Maryland Casualty Company	301719	Agent - Casualty	6/25/2007	2/12/2014
Inactive	Maryland Casualty Company	301719	Agent - Property	6/25/2007	2/12/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	6/25/2007	2/12/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	6/25/2007	2/12/2014
Inactive	Universal Underwriters Insurance Company	301558	Agent - Casualty	5/30/2007	1/23/2014
Inactive	Universal Underwriters Insurance Company	301558	Agent - Property	5/30/2007	1/23/2014
Inactive	Universal Underwriters Life Insurance Company	301200	Agent - Health	8/9/2007	1/23/2014
Inactive	Universal Underwriters Life Insurance Company	301200	Agent - Life	8/9/2007	1/23/2014
Inactive	Universal Underwriters of Texas Insurance Company	639543	Agent - Casualty	8/9/2007	1/23/2014
Inactive	Universal Underwriters of Texas Insurance Company	639543	Agent - Property	8/9/2007	1/23/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Youzoom Insurance Services, Inc.	788817	Agent - Casualty	6/26/2013	10/3/2013
Inactive	Youzoom Insurance Services, Inc.	788817	Agent - Property	6/26/2013	10/3/2013
Inactive	Youzoom Insurance Services, Inc.	788817	Agent - Life	6/26/2013	10/3/2013
Inactive	Youzoom Insurance Services, Inc.	788817	Agent - Health	6/26/2013	10/3/2013