DEPARTMENT OF INSURANCE

Affiliations

Name	Burdick, Stacey L	DOIID	692959	NAIC NPN	8899585

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/7/2011		12/31/2025
Inactive	Non Resident	Agent	Life	11/5/2008	12/31/2009
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/11/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/8/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/11/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	10/11/2022
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/20/2009	12/31/2009
Inactive	CompBenefits Insurance Company	301864	Agent - Health	3/20/2009	12/31/2009
Inactive	CompBenefits Insurance Company	301864	Agent - Life	3/20/2009	12/31/2009
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/8/2019
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	12/7/2011	2/19/2021
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	12/7/2011	2/19/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009	12/31/2009
Inactive	Humana Insurance Company	301104	Agent - Health	3/20/2009	12/31/2009
Inactive	Humana Insurance Company	301104	Agent - Life	3/20/2009	12/31/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/20/2009	12/31/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/20/2009	12/31/2009
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/20/2009	12/31/2009
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/20/2009	12/31/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/13/2012	10/22/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	11/4/2013	9/22/2014
Active	SilverScript Insurance Company	663526	Agent - Health	10/11/2022
Inactive	United World Life Insurance Company	300532	Agent - Health	2/5/2009	12/31/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/14/2012	10/22/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/5/2009	12/31/2009
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/7/2019	5/13/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Safeway Financial LLC	653399	Agent - Life	2/11/2009	12/31/2009
Inactive	Safeway Financial LLC	653399	Agent - Health	2/11/2009	12/31/2009