DEPARTMENT OF INSURANCE

Affiliations

Name	Burnes, Michael James	DOIID	715069	NAIC NPN	6956282

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	6/29/2021	5/31/2023
Inactive	Non Resident	Agent	Casualty	10/6/2009	7/23/2012
Inactive	Non Resident	Agent	Property	10/6/2009	7/23/2012
Inactive	Non Resident	Agent	Life	6/29/2021	5/31/2023
* 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	ACE American Insurance Company	300625	Agent - Casualty	3/24/2010	4/8/2010
Inactive	ACE American Insurance Company	300625	Agent - Property	3/24/2010	4/8/2010
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	11/6/2021	5/31/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/6/2021	5/31/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/6/2021	5/31/2023
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	6/22/2012	7/23/2012
Inactive	American Family Home Insurance Company	301817	Agent - Property	6/22/2012	7/23/2012
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	6/22/2012	7/23/2012
Inactive	American Modern Home Insurance Company	300791	Agent - Property	6/22/2012	7/23/2012
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	3/5/2010	4/10/2012
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	3/5/2010	4/10/2012
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	3/24/2010	4/8/2010
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	3/24/2010	4/8/2010
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/12/2015	5/10/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/21/2013	4/10/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/21/2013	4/10/2017
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	3/8/2010	7/23/2012
Inactive	Encompass Indemnity Company	546376	Agent - Property	3/8/2010	7/23/2012
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	3/8/2010	7/23/2012
Inactive	Encompass Insurance Company of America	556578	Agent - Property	3/8/2010	7/23/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	12/14/2009	4/9/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	12/14/2009	4/9/2012
Inactive	First National Insurance Company of America	301690	Agent - Casualty	4/8/2010	5/30/2012
Inactive	First National Insurance Company of America	301690	Agent - Property	4/8/2010	5/30/2012
Inactive	General Insurance Company of America	300261	Agent - Casualty	4/8/2010	5/30/2012
Inactive	General Insurance Company of America	300261	Agent - Property	4/8/2010	5/30/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/21/2013	4/10/2017
Inactive	Humana Insurance Company	301104	Agent - Health	8/21/2013	4/10/2017
Inactive	Humana Insurance Company	301104	Agent - Life	8/21/2013	4/10/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/21/2013	4/10/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/21/2013	4/10/2017
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	3/24/2010	4/8/2010
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	3/24/2010	4/8/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/21/2013	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/21/2013	11/3/2015
Inactive	Owners Insurance Company	300796	Agent - Casualty	3/5/2010	4/10/2012
Inactive	Owners Insurance Company	300796	Agent - Property	3/5/2010	4/10/2012
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	3/24/2010	4/8/2010
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	3/24/2010	4/8/2010
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	4/8/2010	5/30/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	4/8/2010	5/30/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	4/8/2010	5/30/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	4/8/2010	5/30/2012
Inactive	SilverScript Insurance Company	663526	Agent - Health	11/6/2021	5/31/2023
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	10/30/2009	7/23/2012
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	10/30/2009	7/23/2012
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	10/30/2009	7/23/2012
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	10/30/2009	7/23/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	12/7/2009	3/13/2012
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	12/7/2009	3/13/2012