DEPARTMENT OF INSURANCE

Affiliations

Name	Burgo, Susan Ann	DOIID	560057	NAIC NPN	6447568

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	11/14/2002	7/31/2014
Inactive	Non Resident	Agent	Life	11/14/2002	7/31/2014
* 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	Aetna Health Inc.	300694	Agent - Health	9/15/2003	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	5/5/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/12/2003	5/5/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/12/2003	5/5/2014
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	1/11/2005	12/21/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	1/11/2005	12/21/2011
Inactive	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	1/12/2006	7/31/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/30/2008	7/31/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/30/2008	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	6/30/2008	7/2/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	1/12/2006	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	1/12/2006	6/11/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	7/31/2014
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	1/11/2005	3/31/2014
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	1/11/2005	3/31/2014
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/4/2010	11/23/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/4/2010	11/23/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/30/2008	7/31/2014
Inactive	Humana Insurance Company	301104	Agent - Health	5/26/2006	7/31/2014
Inactive	Humana Insurance Company	301104	Agent - Life	5/26/2006	7/31/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/26/2006	7/31/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/26/2006	7/31/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	6/30/2008	2/22/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	6/30/2008	2/22/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/30/2008	7/31/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/30/2008	7/31/2014
Inactive	Principal Life Insurance Company	300129	Agent - Health	9/23/2003	11/25/2009
Inactive	Principal Life Insurance Company	300129	Agent - Life	9/23/2003	11/25/2009
Inactive	Superior Dental Care Inc.	300418	Agent - Health	8/2/2010	7/31/2014
Inactive	United Concordia Dental Plans of Kentucky Inc.	301923	Agent - Health	2/14/2006	1/7/2013
Inactive	United Concordia Life and Health Insurance Company	301220	Agent - Health	2/14/2006	1/7/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/23/2004	12/14/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/23/2004	12/14/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/23/2004	12/14/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/23/2004	12/14/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	4/28/2011	7/31/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/2/2013	7/31/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/2/2013	7/31/2014
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	3/22/2004	7/31/2014
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	3/22/2004	7/31/2014