DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burstrom, Trey	DOIID	1101392	NAIC NPN	19071906

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/22/2024		6/30/2025
Active	Non Resident	Agent	Life	2/22/2024		6/30/2025
* 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	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	3/25/2024	12/14/2024
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	9/10/2021	7/24/2023
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	10/26/2021	6/30/2023
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	10/26/2021	6/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	World Financial Group Insurance Agency, LLC	400520	Agent - Life
Denied	World Financial Group Insurance Agency, LLC	400520	Agent - Health