DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burch, Michael Brian	DOIID	1168914	NAIC NPN	19300353

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/16/2025		6/30/2027
Active	Non Resident	Agent	Health	9/16/2025		6/30/2027
* 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
Active	ACE American Insurance Company	300625	Agent - Health	9/24/2025
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	9/24/2025
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/26/2023	6/30/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/26/2023	6/30/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/26/2023	6/30/2025
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/26/2021	7/11/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/26/2021	7/11/2023
Active	Guardian Life Insurance Company of America	301316	Agent - Health	1/22/2026
Active	Guardian Life Insurance Company of America	301316	Agent - Life	1/22/2026
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/23/2025	2/4/2026
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	5/8/2026
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	5/8/2026
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/26/2023	6/30/2025
Active	Starmount Life Insurance Company	628031	Agent - Health	5/8/2026
Active	UNUM Life Insurance Company of America	300817	Agent - Health	5/8/2026
Active	UNUM Life Insurance Company of America	300817	Agent - Life	5/8/2026
Active	Unum Insurance Company	301499	Agent - Health	5/8/2026
Active	Unum Insurance Company	301499	Agent - Life	5/8/2026
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	10/7/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	6/30/2026