DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burne, Mara	DOIID	1101996	NAIC NPN	18007606

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/2/2020	10/31/2021
Inactive	Non Resident	Agent	Life	10/2/2020	10/31/2021
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/4/2021	10/31/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/4/2021	10/31/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/4/2021	10/31/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	2/4/2021	10/31/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	2/4/2021	10/31/2021
Inactive	National Health Insurance Company	300554	Agent - Health	6/28/2021	10/31/2021
Inactive	National Health Insurance Company	300554	Agent - Life	6/28/2021	10/31/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/29/2021	10/31/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/29/2021	10/31/2021
Inactive	Starmount Life Insurance Company	628031	Agent - Health	1/29/2021	10/31/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/29/2021	10/31/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/29/2021	10/31/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/21/2021	10/31/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/21/2021	10/31/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/21/2021	10/31/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/21/2021	10/31/2021
Inactive	Unum Insurance Company	301499	Agent - Health	1/29/2021	10/31/2021
Inactive	Unum Insurance Company	301499	Agent - Life	1/29/2021	10/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Automatic Data Processing Insurance Agency Inc.	512879	Agent - Life	2/2/2021	10/31/2021
Inactive	Automatic Data Processing Insurance Agency Inc.	512879	Agent - Health	2/2/2021	10/31/2021