DEPARTMENT OF INSURANCE

Affiliations

Name	Burgess, Bryan Ralph	DOIID	636062	NAIC NPN	8857762

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	8/14/2012	1/31/2026
Active	Resident	Agent	Life	7/24/2006	1/31/2026
Active	Resident	Agent	Property	8/14/2012	1/31/2026
Active	Resident	Agent	Health	7/24/2006	1/31/2026
* 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	Accendo Insurance Company	300312	Agent - Health	9/1/2022	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	9/1/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	9/1/2022
Active	All Savers Insurance Company	301940	Agent - Health	2/23/2024
Active	All Savers Insurance Company	301940	Agent - Life	2/23/2024
Inactive	American Fidelity Assurance Company	301004	Agent - Health	1/5/2008	12/10/2010
Inactive	American Fidelity Assurance Company	301004	Agent - Life	1/5/2008	12/10/2010
Inactive	American General Life Insurance Company	301585	Agent - Health	6/28/2022	6/24/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	6/28/2022	6/24/2024
Active	American Heritage Life Insurance Company	300272	Agent - Health	4/13/2015
Active	American Heritage Life Insurance Company	300272	Agent - Life	4/13/2015
Active	American United Life Insurance Company	300498	Agent - Health	11/10/2015
Active	American United Life Insurance Company	300498	Agent - Life	11/10/2015
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	6/30/2022	11/16/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/24/2006
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/24/2006	10/10/2012
Active	Anthem Life Insurance Company	301209	Agent - Health	7/24/2006
Active	Anthem Life Insurance Company	301209	Agent - Life	7/24/2006
Inactive	Banner Life Insurance Company	301696	Agent - Life	12/10/2014	8/16/2018
Active	Berkshire Life Insurance Company of America	300983	Agent - Health	8/3/2018
Active	Berkshire Life Insurance Company of America	300983	Agent - Life	8/3/2018
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	5/21/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/16/2015	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/12/2019	12/15/2020
Inactive	CompBenefits Insurance Company	301864	Agent - Life	11/5/2009	7/2/2013
Inactive	Companion Life Insurance Company	300191	Agent - Health	1/2/2020	2/29/2024
Inactive	Companion Life Insurance Company	300191	Agent - Life	1/2/2020	2/29/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/1/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	9/1/2022
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	11/7/2006	12/28/2009
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	11/7/2006	12/28/2009
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/15/2017	12/12/2024
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	11/6/2012
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	11/6/2012
Active	Guardian Life Insurance Company of America	301316	Agent - Health	8/2/2006
Active	Guardian Life Insurance Company of America	301316	Agent - Life	8/2/2006
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	11/15/2010
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	11/15/2010
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/29/2021	12/12/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/29/2021	12/12/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/15/2017	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	11/15/2017	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Life	11/15/2017	12/12/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/2/2020	12/12/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/2/2020	12/12/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/29/2021	12/12/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	1/29/2021	12/12/2024
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/5/2008	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/5/2008	5/13/2013
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	4/30/2008	11/9/2009
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	4/30/2008	11/9/2009
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	10/20/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	10/20/2017
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	12/13/2013	10/29/2015
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	9/12/2022	11/15/2023
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	2/4/2020
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Life	2/4/2020
Active	Metropolitan Life Insurance Company	301948	Agent - Health	8/22/2022
Active	Metropolitan Life Insurance Company	301948	Agent - Life	8/22/2022
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	5/14/2014
Inactive	Omaha Insurance Company	751908	Agent - Health	5/14/2014	8/8/2018
Active	Pan-American Life Insurance Company	301530	Agent - Health	1/12/2023
Active	Pan-American Life Insurance Company	301530	Agent - Life	1/12/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/18/2008	9/9/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/18/2008	9/9/2015
Inactive	Pruco Life Insurance Company	300954	Agent - Life	5/20/2014	12/23/2014
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	6/21/2008	6/10/2022
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	6/21/2008	6/10/2022
Active	Standard Insurance Company	300185	Agent - Health	7/4/2013
Active	Standard Insurance Company	300185	Agent - Life	7/4/2013
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	10/28/2024
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	11/14/2019
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	11/14/2019
Active	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Health	5/1/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	3/20/2010	5/28/2021
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	3/20/2010	5/28/2021
Inactive	Trustmark Insurance Company	300317	Agent - Health	1/24/2015	4/27/2018
Inactive	Trustmark Insurance Company	300317	Agent - Life	1/24/2015	4/27/2018
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	12/18/2008	9/9/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	12/18/2008	9/9/2015
Inactive	Union Security Insurance Company	301844	Agent - Health	6/26/2015	1/29/2021
Inactive	Union Security Insurance Company	301844	Agent - Life	6/26/2015	1/29/2021
Active	United of Omaha Life Insurance Company	300156	Agent - Health	9/18/2012
Active	United of Omaha Life Insurance Company	300156	Agent - Life	9/18/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/1/2016	5/2/2018
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	7/1/2016
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/1/2016
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/1/2022
Active	Vision Service Plan Insurance Company	300526	Agent - Health	10/5/2022
Inactive	West Coast Life Insurance Company	301607	Agent - Health	9/14/2007	11/23/2009
Inactive	West Coast Life Insurance Company	301607	Agent - Life	9/14/2007	11/23/2009

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	6/23/2008	1/4/2013
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/23/2008	1/4/2013
Active	Assuredpartners NL, LLC	762387	Agent - Health	4/16/2012
Active	Assuredpartners NL, LLC	762387	Agent - Life	4/16/2012
Active	Dental Choice Agency Inc.	398085	Agent - Health	10/23/2019
Active	Houchens Insurance Group, Inc.	637099	Agent - Health	1/27/2017
Active	Houchens Insurance Group, Inc.	637099	Agent - Life	1/27/2017
Denied	Houchens Insurance Group, Inc.	637099	Agent - Casualty
Denied	Houchens Insurance Group, Inc.	637099	Agent - Property