DEPARTMENT OF INSURANCE

Affiliations

Name	Burgin, Zenas Lynn	DOIID	890912	NAIC NPN	17711554

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	9/18/2015	9/3/2019
Inactive	Non Resident	Agent	Property	9/18/2015	9/3/2019
Inactive	Non Resident	Agent	Life	2/5/2016	9/3/2019
* 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 Modern Select Insurance Company	581481	Agent - Casualty	10/25/2017	9/3/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Property	10/25/2017	9/3/2019
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	6/22/2017	9/3/2019
Inactive	American Southern Home Insurance Company	626276	Agent - Property	6/22/2017	9/3/2019
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	1/11/2016	12/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	1/11/2016	12/7/2017
Inactive	Erie Family Life Insurance Company	301400	Agent - Life	2/15/2016	3/12/2019
Inactive	Erie Insurance Company	300230	Agent - Casualty	9/29/2015	3/12/2019
Inactive	Erie Insurance Company	300230	Agent - Property	9/29/2015	3/12/2019
Inactive	Erie Insurance Company of New York	789916	Agent - Casualty	8/8/2016	3/12/2019
Inactive	Erie Insurance Company of New York	789916	Agent - Property	8/8/2016	3/12/2019
Inactive	Erie Insurance Exchange	300789	Agent - Casualty	9/29/2015	3/12/2019
Inactive	Erie Insurance Exchange	300789	Agent - Property	9/29/2015	3/12/2019
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	8/8/2016	3/12/2019
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Property	8/8/2016	3/12/2019
Inactive	Flagship City Insurance Company	789965	Agent - Casualty	8/8/2016	3/12/2019
Inactive	Flagship City Insurance Company	789965	Agent - Property	8/8/2016	3/12/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/11/2016	7/26/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/11/2016	7/26/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	10/7/2015	12/10/2018
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	10/7/2015	12/10/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Franklin Insurance Agency, Inc.	875827	Agent - Property	9/29/2015	12/5/2018
Inactive	Franklin Insurance Agency, Inc.	875827	Agent - Casualty	9/29/2015	12/5/2018
Inactive	Franklin Insurance Agency, Inc.	875827	Agent - Life	1/22/2018	12/5/2018