DEPARTMENT OF INSURANCE
Affiliations
NameBurgess, Andrew JosephDOIID1009087NAIC NPN18909429
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth10/9/2019 6/30/2026
ActiveResidentAgentLife9/18/2018 6/30/2026
ActiveResidentAgentVariable Life and Variable Annuities1/15/2019 6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent04/15/202406/30/202406/21/202406/21/2024Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAssurity Life Insurance Company301099Agent - Health1/16/2022 
ActiveAssurity Life Insurance Company301099Agent - Life1/16/2022 
InactiveForesters Life Insurance and Annuity Company300882Agent - Life9/24/20185/20/2019
InactiveForesters Life Insurance and Annuity Company300882Agent - Variable Life and Variable Annuities2/12/20195/20/2019
InactiveIndependent Order of Foresters300743Agent - Life10/18/20185/20/2019
ActiveNew York Life Insurance Company300431Agent - Health10/14/2019 
ActiveNew York Life Insurance Company300431Agent - Life5/21/2019 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Health10/14/2019 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Life5/21/2019 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities6/18/2019 
ActivePruco Life Insurance Company300954Agent - Life3/25/2020 
InactiveStandard Insurance Company300185Agent - Health3/4/202112/5/2022
InactiveStandard Insurance Company300185Agent - Life3/4/202112/5/2022
InactiveStandard Insurance Company300185Agent - Variable Life and Variable Annuities3/4/202112/5/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveNYLIFE Securities, LLC645470Agent - Life7/17/2019 
ActiveNYLIFE Securities, LLC645470Agent - Variable Life and Variable Annuities7/17/2019 

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