DEPARTMENT OF INSURANCE
Affiliations
NameBurk, Roy WDOIID674761NAIC NPN7091272
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife12/23/2009 4/30/2027
ActiveNon ResidentAgentHealth12/23/2009 4/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent02/15/202504/30/202504/09/202504/09/2025Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE Property and Casualty Insurance Company300520Agent - Health10/18/2024 
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health9/10/2019 
InactiveAetna Health and Life Insurance Company300523Agent - Health1/17/201712/15/2020
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/6/2020 
ActiveAetna Life Insurance Company301140Agent - Health12/2/2017 
ActiveAetna Life Insurance Company301140Agent - Life12/2/2017 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health7/23/2023 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/28/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
InactiveAnthem Life Insurance Company301209Agent - Health12/30/20094/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life12/30/20094/15/2025
ActiveArcadian Health Plan, Inc.728196Agent - Health10/29/2020 
InactiveAssured Life Association300353Agent - Health8/27/20197/22/2020
InactiveAthene Annuity & Life Assurance Company301798Agent - Life11/26/20084/30/2009
InactiveCHA HMO, Inc.300662Agent - Health4/28/202312/12/2024
ActiveCIGNA Health & Life Insurance Company301783Agent - Health11/23/2024 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health12/20/2022 
ActiveCareSource Kentucky Co.838179Agent - Health11/15/2019 
ActiveCigna Healthcare of Colorado, Inc.1098153Agent - Health11/23/2024 
InactiveCompBenefits Dental, Inc.591692Agent - Health3/1/201612/13/2016
ActiveCompBenefits Insurance Company301864Agent - Health2/17/2025 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/16/2021 
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/201812/15/2020
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life3/10/2021 
InactiveCoventry Health and Life Insurance Company301771Agent - Health12/27/20084/30/2009
InactiveDental Concern Inc. (The)301641Agent - Health3/1/201612/13/2016
InactiveElixir Insurance Company696846Agent - Health10/8/201910/6/2020
InactiveFirst Health Life & Health Insurance Company301735Agent - Health3/19/20126/18/2016
InactiveForethought Life Insurance Company301407Agent - Health7/19/201311/7/2014
ActiveGolden Rule Insurance Company301943Agent - Health12/9/2022 
ActiveGolden Rule Insurance Company301943Agent - Life12/9/2022 
ActiveHealthSpring Life and Health Insurance Company, Inc.684899Agent - Health11/23/2024 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health9/4/201812/10/2018
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/10/20122/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health9/4/201812/10/2018
ActiveHumana Insurance Company301104Agent - Health10/12/2010 
ActiveHumana Insurance Company301104Agent - Life10/12/2010 
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/14/20116/15/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life2/10/20126/15/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health9/4/201812/10/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health9/4/201812/10/2018
InactiveIndependent Order of Foresters300743Agent - Life2/4/202112/28/2021
InactiveKanawha Insurance Company300127Agent - Health9/13/201210/22/2015
InactiveKanawha Insurance Company300127Agent - Life9/13/201210/22/2015
ActiveLifeShield National Insurance Company737111Agent - Health8/11/2024 
ActiveLifeShield National Insurance Company737111Agent - Life8/11/2024 
ActiveMedco Containment Life Insurance Company301557Agent - Health11/21/2024 
InactiveMedico Corp Life Insurance Company301777Agent - Health12/5/201412/21/2016
InactiveMedico Corp Life Insurance Company301777Agent - Life12/5/201412/21/2016
ActiveMedico Insurance Company301559Agent - Health1/19/2024 
ActiveMedico Insurance Company301559Agent - Life1/19/2024 
InactiveMutual of Omaha Insurance Company301012Agent - Health1/12/201212/26/2012
InactiveNassau Life Insurance Company of Kansas300667Agent - Health10/11/201112/13/2012
InactiveNassau Life Insurance Company of Kansas300667Agent - Life10/11/201112/13/2012
InactiveOmaha Health Insurance Company301296Agent - Health8/20/202112/27/2024
InactiveOmaha Insurance Company751908Agent - Health9/30/20148/24/2015
InactiveOxford Life Insurance Company301079Agent - Life5/1/201912/2/2021
InactivePacifiCare Life and Health Insurance Company301304Agent - Health6/24/201111/4/2011
InactivePacifiCare Life and Health Insurance Company301304Agent - Life9/13/20084/30/2009
ActiveSilverScript Insurance Company663526Agent - Health5/21/2014 
InactiveUnited of Omaha Life Insurance Company300156Agent - Health1/12/20126/24/2013
InactiveUnited of Omaha Life Insurance Company300156Agent - Life1/12/20126/24/2013
ActiveUnitedHealthcare Insurance Company300946Agent - Health12/20/2022 
InactiveUnitedHealthcare Insurance Company300946Agent - Life9/13/20084/30/2009
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/13/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health10/8/20205/7/2021
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health10/8/20205/7/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health6/24/201112/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health12/20/2022 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health11/29/2022 
InactiveWellCare Health Insurance of Arizona, Inc.501692Agent - Health9/25/20084/30/2009
ActiveWellCare Prescription Insurance Inc.654329Agent - Health3/8/2019 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBenefit Plans Of America LLC615743Agent - Life12/30/2009 
ActiveBenefit Plans Of America LLC615743Agent - Health12/30/2009 
InactiveDesignated Agent Company Inc.681257Agent - Life12/9/20132/3/2025
InactiveDesignated Agent Company Inc.681257Agent - Health12/9/20132/3/2025

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