DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burger, Sherrie L	DOIID	358293	NAIC NPN	1482929

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/21/1996	6/7/2006
Inactive	Non Resident	Agent	Life	10/21/1996	6/7/2006
Inactive	Non Resident	Agent	Health Maintenance Organization	3/9/1998	3/1/2001
* 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	3/1/2001	10/21/2004
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	3/9/1998	3/1/2001
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/13/1998	10/21/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/21/1996	8/6/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/21/1996	8/6/2004
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	4/28/1998	6/7/2006
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	4/28/1998	6/7/2006
Inactive	MedAmerica Insurance Company	301568	Agent - Health	11/12/2002	5/18/2005
Inactive	National Travelers Life Company	300304	Agent - Health	6/11/1997	3/11/2002
Inactive	National Travelers Life Company	300304	Agent - Life	6/11/1997	3/11/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	9/6/2000	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	9/6/2000	2/28/2003