DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burleson, Anne S	DOIID	701101	NAIC NPN	6432302

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Independent Adjuster	Workers' Compensation	3/27/2009	7/1/2010
Inactive	Non Resident	Staff Adjuster	Workers' Compensation	7/1/2010	8/31/2012
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Key Risk Management Services, LLC	654312	Independent Adjuster - Workers' Compensation	4/3/2009	7/1/2010
Inactive	Key Risk Management Services, LLC	654312	Staff Adjuster - Workers' Compensation	7/14/2010	8/31/2012