DEPARTMENT OF INSURANCE

Affiliations

Name	Burgess, Margie A	DOIID	1111628	NAIC NPN	6419648

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	3/15/2022	3/31/2026
Active	Non Resident	Agent	Casualty	3/15/2022	3/31/2026
Active	Non Resident	Agent	Life	11/21/2020	3/31/2026
Active	Non Resident	Agent	Health	11/21/2020	3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/21/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/30/2025
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	6/21/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/29/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	1/29/2025
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	8/28/2021	12/14/2024
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/1/2021	2/18/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/1/2021	2/18/2021
Inactive	American General Life Insurance Company	301585	Agent - Health	8/5/2021	6/14/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	8/5/2021	6/14/2022
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	8/6/2021	4/5/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/5/2023	5/7/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	11/5/2023	5/7/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	11/5/2023	5/7/2024
Inactive	CMFG Life Insurance Company	300929	Agent - Health	2/2/2022	3/15/2022
Inactive	CMFG Life Insurance Company	300929	Agent - Life	2/2/2022	3/15/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	11/3/2024	7/18/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	11/5/2023	5/7/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/21/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/21/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Health	11/21/2020	2/6/2025
Active	SilverScript Insurance Company	663526	Agent - Health	1/29/2025
Active	Tier One Insurance Company	301056	Agent - Health	8/1/2023
Active	Tier One Insurance Company	301056	Agent - Life	8/1/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/3/2024	7/18/2025
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/3/2024	7/18/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Life	2/4/2025	3/12/2025
Inactive	Financial Insurance Services, Inc.	514710	Agent - Health	2/4/2025	3/12/2025
Denied	Financial Insurance Services, Inc.	514710	Agent - Casualty
Denied	Financial Insurance Services, Inc.	514710	Agent - Property
Inactive	Sutherland Global Services Inc	601788	Agent - Life	1/1/2021	2/18/2021
Active	Sutherland Global Services Inc	601788	Agent - Health	12/3/2020
Denied	Ttec Financial Services Management LLC	881063	Agent - Casualty
Denied	Ttec Financial Services Management LLC	881063	Agent - Property
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	2/25/2025	6/4/2025