DEPARTMENT OF INSURANCE
Affiliations
NameBurgess, Bridget MarieDOIID551279NAIC NPN579182
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife7/11/20028/31/2012 
InactiveNon ResidentAgentHealth7/11/20028/31/2012 
InactiveNon ResidentAgentVariable Life and Variable Annuities7/11/20028/31/2012 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health7/9/20098/31/2012
InactiveAllianz Life Insurance Company of North America301791Agent - Life7/9/20098/31/2012
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities7/9/20098/31/2012
InactiveSymetra Life Insurance Company301691Agent - Health7/11/20025/11/2011
InactiveSymetra Life Insurance Company301691Agent - Life7/11/20025/11/2011
InactiveSymetra Life Insurance Company301691Agent - Variable Life and Variable Annuities7/11/20025/11/2011
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveSignator Financial Services, Inc.513060Agent - Health3/10/20038/31/2012
InactiveSignator Financial Services, Inc.513060Agent - Life3/10/20038/31/2012
InactiveSignator Financial Services, Inc.513060Agent - Variable Life and Variable Annuities3/10/20038/31/2012

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