DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burgess, Gwendolyn Lavette	DOIID	521458	NAIC NPN	3122494

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	2/8/2001	9/2/2003
Inactive	Non Resident	Agent	Property	2/8/2001	9/2/2003
Active	Non Resident	Staff Adjuster	Property & Casualty	9/28/2009		2/28/2026
* 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
Staff Adjuster	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Security Insurance Company	300901	Agent - Casualty	4/26/2002	8/14/2002
Inactive	American Security Insurance Company	300901	Agent - Property	4/26/2002	8/14/2002
Inactive	Centre Insurance Company	301599	Agent - Casualty	4/27/2001	4/14/2003
Inactive	Centre Insurance Company	301599	Agent - Property	4/27/2001	4/14/2003
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	3/28/2001	9/2/2003
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	3/28/2001	9/2/2003
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/9/2001	7/29/2002
Inactive	First National Insurance Company of America	301690	Agent - Property	8/9/2001	7/29/2002
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/9/2001	7/29/2002
Inactive	General Insurance Company of America	300261	Agent - Property	8/9/2001	7/29/2002
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	2/8/2001	7/29/2002
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	2/8/2001	7/29/2002
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/9/2001	7/29/2002
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/9/2001	7/29/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Securian Financial Network, Inc	400561	Agent - Property	2/8/2001	7/29/2002
Inactive	Securian Financial Network, Inc	400561	Agent - Casualty	2/8/2001	7/29/2002