Individual Information

GENE EDWARD BURKHART

LAS VEGAS, NV 89134

Active

eddieb@bpcnv.com

06/08/1993

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Res. Producer/Producer Firm	36165	10/01/2001	Active	10/01/2001	06/30/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	11/22/2002	Active	11/22/2002
Health	10/01/2001	Active	10/01/2001
Life	10/01/2001	Active	10/01/2001
Property	11/22/2002	Active	11/22/2002
Health	06/08/1993	Inactive	10/01/2001
Life	06/08/1993	Inactive	10/01/2001
Surety	11/22/2002	Inactive	01/01/2020

Company Name	Appointment Type	Status	Active Date
106276
AETNA HEALTH INC (PA)	Health	Active	04/11/2013
770
Company Name	Appointment Type	Status	Active Date
AETNA HEALTH INSURANCE COMPANY	Health	Active	04/11/2013
7
Company Name	Appointment Type	Status	Active Date
AETNA LIFE INSURANCE COMPANY	Health	Active	04/11/2013
	Life	Active	04/11/2013
43
Company Name	Appointment Type	Status	Active Date
AMERICAN GENERAL LIFE INSURANCE COMPANY	Health	Active	02/19/2014
	Life	Active	02/19/2014
653
Company Name	Appointment Type	Status	Active Date
BRIGHTHOUSE LIFE INSURANCE COMPANY	Health	Active	10/17/2017
	Life	Active	10/17/2017
972
Company Name	Appointment Type	Status	Active Date
DEARBORN LIFE INSURANCE COMPANY	Health	Active	09/09/2013
	Life	Active	09/09/2013
104054
Company Name	Appointment Type	Status	Active Date
LIBERTY DENTAL PLAN OF NEVADA, INC.	Health	Active	04/01/2013
1208
Company Name	Appointment Type	Status	Active Date
PAN-AMERICAN LIFE INSURANCE COMPANY	Health	Active	10/07/2019
	Life	Active	10/07/2019
890
Company Name	Appointment Type	Status	Active Date
TRANSAMERICA LIFE INSURANCE COMPANY	Health	Active	08/05/2021
	Life	Active	08/05/2021

row(s) 1 - 15 of 15

Organization	Association Type	Type	Beg dte	End dte
BENEFIT PLAN CONSULTANTS	Designated Resp Lic Prdcr	Agency	05/04/2020	-

1 - 1