DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burns, Tanner	DOIID	687768	NAIC NPN	11408867

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	12/11/2015		3/31/2026
Active	Non Resident	Agent	Casualty	12/11/2015		3/31/2026
Inactive	Non Resident	Agent	Health	2/25/2009	8/5/2011
Inactive	Non Resident	Agent	Life	2/25/2009	8/5/2011
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/28/2017		3/31/2026
* 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	01/15/2026	03/31/2026
Surplus Lines Broker	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AIG Property Casualty Company	300621	Agent - Casualty	7/1/2016
Active	AIG Property Casualty Company	300621	Agent - Property	7/1/2016
Active	Arch Insurance Company	300688	Agent - Casualty	7/21/2020
Active	Arch Insurance Company	300688	Agent - Property	7/21/2020
Active	Cincinnati Insurance Company	301298	Agent - Casualty	8/9/2021
Active	Cincinnati Insurance Company	301298	Agent - Property	8/9/2021
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	12/28/2015
Active	Fireman's Fund Insurance Company	301423	Agent - Property	12/28/2015
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	11/23/2009	9/1/2015
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	11/23/2009	9/1/2015
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	7/19/2018
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	7/19/2018
Inactive	Samsung Fire & Marine Insurance Co., Ltd (US Branch)	752518	Agent - Casualty	9/5/2013	9/1/2015
Inactive	Samsung Fire & Marine Insurance Co., Ltd (US Branch)	752518	Agent - Property	9/5/2013	9/1/2015
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	5/13/2022
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	5/13/2022
Inactive	Utica Mutual Insurance Company	301933	Agent - Casualty	6/29/2021	11/28/2023
Inactive	Utica Mutual Insurance Company	301933	Agent - Property	6/29/2021	11/28/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	12/28/2015
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	12/28/2015
Denied	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Health
Denied	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Life
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Surplus Lines Broker - Not Applicable	5/9/2017