Individual Information

TYRRE ANDRE BURKS

Address:

MINNEAPOLIS, MN 55401-1162

Status:

Active

Email:

tyrre@playershealth.com

Date:

07/30/2019

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3459646	07/30/2019	Active	07/30/2019	07/31/2025
Non-Res. Surplus Lines Broker	3494883	11/01/2019	Active	11/01/2019	11/30/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	07/30/2019	Active	07/30/2019
Health	07/30/2019	Active	07/30/2019
Life	05/17/2022	Active	05/17/2022
Property	07/30/2019	Active	07/30/2019
Surplus Lines	11/01/2019	Active	11/01/2019

Company Name	Appointment Type	Status	Active Date
288
GREAT AMERICAN INSURANCE COMPANY	Casualty	Active	03/10/2020
	Health	Active	03/10/2020
	Property	Active	03/10/2020
431
Company Name	Appointment Type	Status	Active Date
MUTUAL OF OMAHA INSURANCE COMPANY	Health	Active	03/10/2022
1095
Company Name	Appointment Type	Status	Active Date
SIRIUSPOINT AMERICA INSURANCE COMPANY	Casualty	Active	03/10/2023
	Health	Active	03/10/2023
	Property	Active	03/10/2023
1518
Company Name	Appointment Type	Status	Active Date
STATE NATIONAL INSURANCE COMPANY INC	Casualty	Active	12/21/2021
	Property	Active	12/21/2021

row(s) 1 - 9 of 9

Organization	Association Type	Type	Beg dte	End dte
PLAYER'S HEALTH COVER USA INC.	Designated Resp Lic Prdcr	Agency	07/25/2022	-
COVERGAME USA INC	Designated Resp Lic Prdcr	Agency	04/04/2022	-

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