DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burrell, Claude Everett	DOIID	1113076	NAIC NPN	19574499

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/8/2020	7/31/2022
Inactive	Non Resident	Agent	Life	12/8/2020	7/31/2022
* 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	AXIS Insurance Company	301290	Agent - Health	1/28/2021	7/31/2022
Inactive	American General Life Insurance Company	301585	Agent - Health	3/10/2021	6/16/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	3/10/2021	6/16/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/12/2021	4/23/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/12/2021	4/23/2021
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	2/1/2021	1/25/2022
Inactive	United Home Life Insurance Company	300421	Agent - Life	2/12/2021	9/23/2022

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	2/12/2021	4/28/2022