DEPARTMENT OF INSURANCE

Affiliations

Name	Burri, Dean Allen	DOIID	617486	NAIC NPN	1727740

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/10/2005	12/31/2024
Active	Non Resident	Agent	Life	10/10/2005	12/31/2024
* 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
Agent	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/9/2010
Active	Aetna Life Insurance Company	301140	Agent - Health	9/9/2010
Active	Aetna Life Insurance Company	301140	Agent - Life	9/9/2010
Active	All Savers Insurance Company	301940	Agent - Health	1/13/2023
Active	All Savers Insurance Company	301940	Agent - Life	1/13/2023
Active	Anthem Life Insurance Company	301209	Agent - Health	2/3/2015
Active	Anthem Life Insurance Company	301209	Agent - Life	2/3/2015
Active	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	11/8/2005
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	6/13/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/26/2016	5/2/2017
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/20/2012	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	1/20/2012	6/26/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	11/8/2005	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	11/8/2005	6/11/2014
Active	Continental American Insurance Company	301700	Agent - Health	11/29/2021
Active	Continental American Insurance Company	301700	Agent - Life	11/29/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/26/2016	5/2/2017
Inactive	Gerber Life Insurance Company	300529	Agent - Health	3/1/2010	11/15/2011
Inactive	Gerber Life Insurance Company	300529	Agent - Life	3/1/2010	11/15/2011
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2016	5/2/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/13/2016	5/2/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/13/2016	5/2/2017
Inactive	Humana Insurance Company	301104	Agent - Health	10/13/2016	5/2/2017
Inactive	Humana Insurance Company	301104	Agent - Life	10/13/2016	5/2/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/13/2016	5/2/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/13/2016	5/2/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2016	5/2/2017
Inactive	HumanaDental Insurance Company	301457	Agent - Health	1/20/2012	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	1/20/2012	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/11/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/11/2014	10/22/2015
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	11/30/2006
Inactive	Omaha Insurance Company	751908	Agent - Health	11/8/2012	8/8/2018
Inactive	Principal Life Insurance Company	300129	Agent - Health	2/12/2015	4/22/2020
Inactive	Principal Life Insurance Company	300129	Agent - Life	2/12/2015	4/22/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/16/2015	10/8/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/16/2015	10/8/2021
Inactive	Trustmark Life Insurance Company	301286	Agent - Health	11/1/2005	12/10/2014
Inactive	Trustmark Life Insurance Company	301286	Agent - Life	11/1/2005	12/10/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/16/2015	10/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/16/2015	10/8/2021
Active	Unimerica Insurance Company	563724	Agent - Health	5/18/2007
Active	Unimerica Insurance Company	563724	Agent - Life	5/18/2007
Inactive	Union Security Insurance Company	301844	Agent - Health	4/2/2015	11/26/2020
Inactive	Union Security Insurance Company	301844	Agent - Life	4/2/2015	11/26/2020
Inactive	United World Life Insurance Company	300532	Agent - Health	11/22/2005	12/15/2010
Active	United of Omaha Life Insurance Company	300156	Agent - Health	11/30/2006
Active	United of Omaha Life Insurance Company	300156	Agent - Life	11/30/2006
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	12/5/2016
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	12/5/2016
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/5/2016
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/31/2022
Active	Vision Service Plan Insurance Company	300526	Agent - Health	3/11/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	2/24/2015
Active	Designated Agent Company Inc.	681257	Agent - Health	2/3/2015
Active	Designated Agent Company Inc.	681257	Agent - Life	2/3/2015