DEPARTMENT OF INSURANCE

Affiliations

Name	Burlingame, Gary A	DOIID	963765	NAIC NPN	1884450

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	10/8/2021	6/30/2026
Active	Non Resident	Agent	Life	10/8/2021	6/30/2026
Active	Non Resident	Agent	Health	10/8/2021	6/30/2026
Active	Non Resident	Agent	Casualty	10/8/2021	6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2024	06/30/2024	07/08/2024	07/08/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AMCO Insurance Company	300204	Agent - Casualty	10/19/2021	11/29/2022
Inactive	AMCO Insurance Company	300204	Agent - Property	10/19/2021	11/29/2022
Inactive	Allied Insurance Company of America	793586	Agent - Casualty	10/19/2021	11/29/2022
Inactive	Allied Insurance Company of America	793586	Agent - Property	10/19/2021	11/29/2022
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	10/19/2021	11/29/2022
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Property	10/19/2021	11/29/2022
Active	American Strategic Insurance Corp	883540	Agent - Casualty	10/30/2023
Active	American Strategic Insurance Corp	883540	Agent - Property	10/30/2023
Active	Bristol West Insurance Company	301655	Agent - Casualty	6/12/2024
Active	Bristol West Insurance Company	301655	Agent - Property	6/12/2024
Inactive	Depositors Insurance Company	301634	Agent - Casualty	10/19/2021	11/29/2022
Inactive	Depositors Insurance Company	301634	Agent - Property	10/19/2021	11/29/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/14/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/14/2024
Inactive	Horace Mann Life Insurance Company	300852	Agent - Health	12/7/2022	6/8/2023
Inactive	Horace Mann Life Insurance Company	300852	Agent - Life	12/7/2022	6/8/2023
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Health	10/20/2021	4/1/2022
Inactive	National Teachers Associates Life Insurance Company	300107	Agent - Health	12/7/2022	6/8/2023
Inactive	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	10/19/2021	11/29/2022
Inactive	Nationwide Agribusiness Insurance Company	301008	Agent - Property	10/19/2021	11/29/2022
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	10/19/2021	11/29/2022
Inactive	Nationwide Assurance Company	300166	Agent - Property	10/19/2021	11/29/2022
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	10/19/2021	11/29/2022
Inactive	Nationwide General Insurance Company	300603	Agent - Property	10/19/2021	11/29/2022
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	10/19/2021	11/29/2022
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	10/19/2021	11/29/2022
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	10/19/2021	11/29/2022
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	10/19/2021	11/29/2022
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	10/19/2021	11/29/2022
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	10/19/2021	11/29/2022
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	2/24/2023	5/15/2023
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	2/24/2023	5/15/2023
Active	United Casualty Insurance Company of America	301322	Agent - Casualty	9/25/2023
Active	United Casualty Insurance Company of America	301322	Agent - Property	9/25/2023
Active	United Insurance Company of America	300775	Agent - Health	9/25/2023
Active	United Insurance Company of America	300775	Agent - Life	9/25/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Comparion Insurance Agency LLC	1180252	Agent - Property	7/23/2022	11/18/2022
Inactive	Comparion Insurance Agency LLC	1180252	Agent - Casualty	7/23/2022	11/18/2022
Denied	Comparion Insurance Agency LLC	1180252	Agent - Health
Denied	Comparion Insurance Agency LLC	1180252	Agent - Life
Denied	Firefly Agency LLC	663796	Agent - Property
Denied	Firefly Agency LLC	663796	Agent - Casualty
Inactive	Horace Mann Service Corporation	400869	Agent - Health	12/7/2022	6/8/2023
Inactive	Horace Mann Service Corporation	400869	Agent - Life	12/7/2022	6/8/2023