DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burwell, Kristine J	DOIID	730426	NAIC NPN	774371

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/16/2010	5/31/2014
Inactive	Non Resident	Agent	Health	6/16/2010	5/31/2014
Inactive	Non Resident	Agent	Casualty	6/16/2010	5/31/2014
Inactive	Non Resident	Agent	Property	6/16/2010	5/31/2014
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	6/9/2011	2/13/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/9/2011	2/13/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/9/2011	2/13/2014
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	5/3/2013	5/31/2014
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/3/2013	5/31/2014
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	7/28/2011	5/31/2014
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	7/28/2011	5/31/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/3/2013	5/31/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/3/2013	5/31/2014
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	5/3/2013	5/31/2014
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	5/3/2013	5/31/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	5/3/2013	5/31/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	5/3/2013	5/31/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	6/10/2011	1/14/2014
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	6/10/2011	1/14/2014