DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burks, Carmen	DOIID	1025571	NAIC NPN	16707016

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/16/2019		11/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	4/4/2023	9/18/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/4/2023	9/18/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/4/2023	9/18/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/11/2022
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/11/2022	8/2/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/16/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/23/2021
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/25/2024
Inactive	Federal Insurance Company	301144	Agent - Health	3/15/2019	10/26/2021
Active	Golden Rule Insurance Company	301943	Agent - Health	2/5/2019
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/4/2023	9/18/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/16/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/16/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/19/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	8/19/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/4/2019	6/1/2022
Active	Gohealth LLC	691445	Agent - Health	2/14/2024
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	7/10/2019	1/25/2023