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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2025	12/31/2025

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
Active	American General Life Insurance Company	301585	Agent - Health	5/29/2025
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
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/25/2024
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