DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burris, William A	DOIID	830445	NAIC NPN	9375254

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/10/2016	11/6/2017
Inactive	Non Resident	Agent	Casualty	6/10/2016	11/6/2017
* 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	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	4/26/2017	11/6/2017
Inactive	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	4/26/2017	11/6/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Privilege Underwriters Insurance Agency	630090	Agent - Property
Denied	Privilege Underwriters Insurance Agency	630090	Agent - Casualty