DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burgos, Anthony Michael	DOIID	1035127	NAIC NPN	16446161

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	4/3/2019	3/7/2024
Inactive	Non Resident	Agent	Property	4/3/2019	3/5/2024
* 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	General Star National Insurance Company	301142	Agent - Casualty	10/1/2019	11/4/2022
Inactive	General Star National Insurance Company	301142	Agent - Property	10/1/2019	11/4/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Starwind Specialty Insurance Services, LLC	513826	Agent - Casualty	10/1/2019	11/4/2022
Inactive	Starwind Specialty Insurance Services, LLC	513826	Agent - Property	10/1/2019	11/4/2022