DEPARTMENT OF INSURANCE

Affiliations

Name	Burkart, Karlissa Gene	DOIID	616344	NAIC NPN	8592576

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/14/2026		5/31/2027
Active	Non Resident	Agent	Casualty	4/14/2026		5/31/2027
Inactive	Non Resident	Agent	Life	4/27/2012	5/31/2017
* 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	03/15/2027	05/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AAA Life Insurance Company	300287	Agent - Life	12/23/2015	2/21/2017
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	12/22/2014	5/31/2017
Inactive	American Modern Home Insurance Company	300791	Agent - Property	12/22/2014	5/31/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	12/22/2014	5/31/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Property	12/22/2014	5/31/2017
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	12/7/2015	3/13/2017
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	12/7/2015	3/13/2017
Inactive	CSAA General Insurance Company	606675	Agent - Casualty	12/7/2015	3/13/2017
Inactive	CSAA General Insurance Company	606675	Agent - Property	12/7/2015	3/13/2017
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	1/20/2015	5/31/2017
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	1/20/2015	5/31/2017
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	1/20/2015	5/31/2017
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	1/20/2015	5/31/2017
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	10/24/2005	12/2/2014
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	10/24/2005	12/2/2014
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	12/9/2014	2/1/2016
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	12/9/2014	2/1/2016
Inactive	Grange Insurance Company	300234	Agent - Casualty	12/9/2014	2/1/2016
Inactive	Grange Insurance Company	300234	Agent - Property	12/9/2014	2/1/2016
Inactive	Grange Life Insurance Company	300128	Agent - Life	12/9/2014	2/1/2016
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	12/9/2014	2/1/2016
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	12/9/2014	2/1/2016
Inactive	LM General Insurance Company	300133	Agent - Casualty	3/19/2010	12/2/2014
Inactive	LM General Insurance Company	300133	Agent - Property	3/19/2010	12/2/2014
Inactive	LM Insurance Corporation	301061	Agent - Casualty	10/24/2005	12/2/2014
Inactive	LM Insurance Corporation	301061	Agent - Property	10/24/2005	12/2/2014
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	10/24/2005	12/2/2014
Inactive	Liberty Insurance Corporation	300444	Agent - Property	10/24/2005	12/2/2014
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	10/24/2005	12/2/2014
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	10/24/2005	12/2/2014
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	10/24/2005	12/2/2014
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	10/24/2005	12/2/2014
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Life	4/30/2012	12/2/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	12/9/2016	5/31/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	12/9/2016	5/31/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	12/9/2016	5/31/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	12/9/2016	5/31/2017
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Casualty	12/22/2014	5/31/2017
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Property	12/22/2014	5/31/2017
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	12/9/2014	2/1/2016
Inactive	Trustgard Insurance Company	300104	Agent - Property	12/9/2014	2/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aaa Allied Insurance Services Inc	546922	Agent - Property	12/1/2015	2/6/2017
Inactive	Aaa Allied Insurance Services Inc	546922	Agent - Casualty	12/1/2015	2/6/2017
Inactive	Aaa Allied Insurance Services Inc	546922	Agent - Life	12/1/2015	2/6/2017
Inactive	Public Entity Insurance, Inc.	398396	Agent - Property	12/9/2014	11/17/2015
Inactive	Public Entity Insurance, Inc.	398396	Agent - Casualty	12/9/2014	11/17/2015
Inactive	Public Entity Insurance, Inc.	398396	Agent - Life	12/9/2014	11/17/2015