DEPARTMENT OF INSURANCE

Affiliations

Name	Burkhead, Shawn Wilson	DOIID	695537	NAIC NPN	12485245

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	1/5/2009	11/28/2011
Inactive	Resident	Agent	Life	1/5/2009	12/1/2011
* 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 Continental Insurance Company	643130	Agent - Health	1/22/2009	5/5/2009
Inactive	American Continental Insurance Company	643130	Agent - Life	1/22/2009	5/5/2009
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	9/8/2010
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/22/2009	5/5/2009
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	1/22/2009	5/5/2009
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	9/8/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/21/2009	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Health	1/21/2009	9/9/2010
Inactive	Humana Insurance Company	301104	Agent - Life	1/21/2009	9/9/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/21/2009	9/9/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/21/2009	9/9/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	1/21/2009	9/9/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	1/21/2009	9/9/2010
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	1/21/2009	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	1/21/2009	12/30/2009
Denied	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health
Denied	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/21/2009	9/9/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/21/2009	9/9/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	1/5/2009	7/31/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	1/5/2009	7/31/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	1/26/2009	4/30/2009
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	1/5/2009	7/29/2009
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	1/5/2009	7/29/2009
Inactive	Time Insurance Company	300683	Agent - Health	1/15/2009	7/29/2009
Inactive	Time Insurance Company	300683	Agent - Life	1/15/2009	7/29/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/26/2009	4/30/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/26/2009	4/30/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/5/2009	11/26/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/5/2009	12/1/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Futurity First Insurance Group LLC	676947	Agent - Health	3/23/2009	11/26/2011
Inactive	Futurity First Insurance Group LLC	676947	Agent - Life	3/23/2009	12/1/2011