DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burghardt, Matthew J	DOIID	791008	NAIC NPN	3652128

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/12/2024		5/31/2026
Active	Non Resident	Agent	Life	9/11/2012		5/31/2026
Active	Non Resident	Agent	Property	11/12/2024		5/31/2026
Active	Non Resident	Agent	Health	9/11/2012		5/31/2026
* 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	Anthem Life Insurance Company	301209	Agent - Health	2/2/2015	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/2/2015	12/10/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	9/25/2012	10/12/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	9/25/2012	10/12/2020
Active	Guardian Life Insurance Company of America	301316	Agent - Health	9/25/2012
Active	Guardian Life Insurance Company of America	301316	Agent - Life	9/25/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ameragroup Services Inc	791766	Agent - Life	6/10/2016	3/31/2018
Inactive	Ameragroup Services Inc	791766	Agent - Health	6/10/2016	3/31/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/2/2015	12/13/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/2/2015	12/13/2020