DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burrell, Donald	DOIID	1084919	NAIC NPN	19492912

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	5/28/2020		2/28/2027
Active	Non Resident	Agent	Health	5/28/2020		2/28/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	12/15/2026	02/28/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/26/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/26/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	9/26/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	6/24/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/27/2020	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/27/2020	4/15/2025
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	4/15/2021	7/10/2026
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/6/2021	7/10/2026
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/21/2022	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	10/21/2021	7/10/2026
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/13/2021	7/10/2026
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	10/12/2024	2/16/2026
Active	SilverScript Insurance Company	663526	Agent - Health	9/26/2024

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 - Life	6/29/2020	4/15/2025
Active	Designated Agent Company Inc.	681257	Agent - Health	6/29/2020
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	1/23/2024	4/15/2025
Active	TZ Insurance Solutions LLC	727470	Agent - Health	1/23/2024
Inactive	Trubridge Inc	717747	Agent - Life	8/14/2023	4/10/2024
Inactive	Trubridge Inc	717747	Agent - Health	8/14/2023	4/10/2024