DEPARTMENT OF INSURANCE

Affiliations

Name	Burklund, Joseph	DOIID	769918	NAIC NPN	16473656

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Personal Lines	12/1/2011	9/30/2017
Inactive	Non Resident	Agent	Life	10/8/2013	9/30/2017
Inactive	Non Resident	Agent	Health	10/8/2013	9/30/2017
* 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 Family Home Insurance Company	301817	Agent - Personal Lines	5/31/2013	9/18/2014
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	8/14/2014	11/2/2017
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	8/14/2014	11/2/2017
Inactive	American Modern Home Insurance Company	300791	Agent - Personal Lines	5/31/2013	9/18/2014
Inactive	American Modern Select Insurance Company	581481	Agent - Personal Lines	5/31/2013	9/18/2014
Inactive	American Southern Home Insurance Company	626276	Agent - Personal Lines	5/31/2013	9/18/2014
Inactive	Continental American Insurance Company	301700	Agent - Health	10/29/2013	6/16/2016
Inactive	Continental American Insurance Company	301700	Agent - Life	10/29/2013	6/16/2016
Inactive	Farmers Casualty Insurance Company	301616	Agent - Personal Lines	11/20/2012	10/27/2014
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Personal Lines	11/20/2012	10/27/2014
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Personal Lines	11/20/2012	10/27/2014
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Personal Lines	12/29/2011	4/29/2014
Inactive	LM General Insurance Company	300133	Agent - Personal Lines	12/29/2011	4/29/2014
Inactive	LM Insurance Corporation	301061	Agent - Personal Lines	12/29/2011	4/29/2014
Inactive	Liberty Insurance Corporation	300444	Agent - Personal Lines	12/29/2011	4/29/2014
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Personal Lines	12/29/2011	4/29/2014
Inactive	Liberty Mutual Insurance Company	301159	Agent - Personal Lines	12/29/2011	4/29/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	9/29/2014	9/30/2017
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	9/29/2014	9/30/2017
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	2/10/2016	9/30/2017
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	2/10/2016	9/30/2017
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	8/27/2014	3/12/2016
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	8/27/2014	3/12/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/14/2014	3/12/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/14/2014	3/12/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	8/19/2015	9/30/2017
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	8/19/2015	9/30/2017
Inactive	Response Insurance Company	300240	Agent - Personal Lines	12/19/2011	1/2/2014
Inactive	Trustmark Insurance Company	300317	Agent - Health	9/17/2014	9/30/2017
Inactive	Trustmark Insurance Company	300317	Agent - Life	9/17/2014	9/30/2017
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	8/14/2014	3/12/2016
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	8/14/2014	3/12/2016
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Personal Lines	12/19/2011	10/6/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Health	1/9/2014	9/30/2017
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Life	1/9/2014	9/30/2017
Inactive	Seabury & Smith Inc	394854	Agent - Personal Lines	12/22/2011	4/8/2014