DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burghard, David	DOIID	880760	NAIC NPN	2143205

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/17/2015	12/31/2020
Inactive	Non Resident	Agent	Health	6/17/2015	12/31/2020
* 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	4 Ever Life Insurance Company	301307	Agent - Health	7/25/2017	3/20/2020
Inactive	4 Ever Life Insurance Company	301307	Agent - Life	7/25/2017	3/20/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/19/2019	7/23/2020
Inactive	BCS Insurance Company	300294	Agent - Health	7/25/2017	3/20/2020
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Health	7/29/2015	8/1/2017
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Life	7/29/2015	8/1/2017
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	11/12/2019	12/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	8/16/2019	12/31/2020
Inactive	Preferred Financial Corporation	726300	Agent - Life	7/28/2016	3/31/2020
Inactive	Preferred Financial Corporation	726300	Agent - Health	7/28/2016	3/31/2020