DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burgos, Maylyne	DOIID	717589	NAIC NPN	6885698

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/8/2011		2/28/2026
* 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	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	11/22/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/8/2012	3/14/2019
Active	CompBenefits Insurance Company	301864	Agent - Health	10/26/2020
Active	Dental Concern Inc. (The)	301641	Agent - Health	3/8/2012
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	2/23/2018
Active	Humana Health Plan, Inc.	300142	Agent - Health	3/8/2012
Active	Humana Insurance Company	301104	Agent - Health	3/8/2012
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	3/19/2012
Active	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/8/2012	10/22/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Humana MarketPOINT Inc.	398092	Agent - Health	11/21/2017