DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burris, Richard	DOIID	719232	NAIC NPN	15417646

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	4/9/2010	10/31/2022
Inactive	Resident	Agent	Life	5/3/2010	10/31/2022
* 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
Denied	Anthem Life Insurance Company	301209	Agent - Health
Denied	Anthem Life Insurance Company	301209	Agent - Life
Inactive	Athene Annuity and Life Company	301893	Agent - Life	8/15/2012	7/11/2013
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	6/4/2015	2/23/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	2/16/2011	5/24/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	2/16/2011	5/24/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/1/2012	5/24/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/1/2012	5/24/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/23/2011	5/24/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/23/2011	5/24/2017