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DEPARTMENT OF INSURANCE
Affiliations
Name
Burgos, Enrique
DOIID
720844
NAIC NPN
8671234
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
10/27/2015
7/28/2021
Inactive
Non Resident
Agent
Health
10/27/2015
7/28/2021
* 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
Inactive
ACE American Insurance Company
300625
Agent - Health
5/12/2017
7/28/2021
Inactive
AXIS Insurance Company
301290
Agent - Health
5/20/2016
6/17/2021
Inactive
American Financial Security Life Insurance Co.
301635
Agent - Health
7/7/2020
7/28/2021
Inactive
American General Life Insurance Company
301585
Agent - Health
2/9/2017
7/28/2021
Inactive
American General Life Insurance Company
301585
Agent - Life
2/9/2017
7/28/2021
Inactive
American Heritage Life Insurance Company
300272
Agent - Health
9/18/2019
4/13/2021
Inactive
American Heritage Life Insurance Company
300272
Agent - Life
9/18/2019
4/13/2021
Inactive
American National Insurance Company
301861
Agent - Life
5/15/2019
6/9/2021
Inactive
American National Life Insurance Company of Texas
300912
Agent - Health
6/9/2017
6/9/2021
Inactive
American National Life Insurance Company of Texas
300912
Agent - Life
6/9/2017
6/9/2021
Inactive
Americo Financial Life and Annuity Insurance Company
300869
Agent - Health
12/1/2016
7/18/2017
Inactive
Americo Financial Life and Annuity Insurance Company
300869
Agent - Life
12/1/2016
7/18/2017
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Health
12/31/2016
1/13/2021
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Life
12/31/2016
6/15/2021
Inactive
Assurity Life Insurance Company
301099
Agent - Health
8/29/2019
9/17/2020
Inactive
Assurity Life Insurance Company
301099
Agent - Life
8/29/2019
9/17/2020
Inactive
Catlin Insurance Company, Inc.
300979
Agent - Health
4/4/2016
6/20/2018
Inactive
Chesapeake Life Insurance Company (The)
301017
Agent - Health
3/6/2017
6/11/2018
Inactive
Chesapeake Life Insurance Company (The)
301017
Agent - Life
3/6/2017
6/11/2018
Inactive
Companion Life Insurance Company
300191
Agent - Health
3/27/2012
5/31/2015
Inactive
Companion Life Insurance Company
300191
Agent - Life
3/27/2012
5/31/2015
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
11/4/2016
12/12/2016
Inactive
Federal Insurance Company
301144
Agent - Health
5/12/2017
7/28/2021
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Life
1/16/2011
1/28/2015
Inactive
Golden Rule Insurance Company
301943
Agent - Health
3/20/2012
5/31/2015
Inactive
Golden Rule Insurance Company
301943
Agent - Life
3/20/2012
5/31/2015
Inactive
Guarantee Trust Life Insurance Company
301043
Agent - Health
1/30/2018
6/4/2019
Inactive
Guarantee Trust Life Insurance Company
301043
Agent - Life
1/30/2018
6/4/2019
Inactive
HCC Life Insurance Company
301827
Agent - Health
1/5/2016
10/3/2016
Inactive
Independence American Insurance Company
524747
Agent - Health
7/27/2018
1/29/2019
Inactive
Independent Order of Foresters
300743
Agent - Life
9/18/2018
7/2/2019
Inactive
Loyal American Life Insurance Company
301172
Agent - Health
7/12/2016
1/12/2017
Inactive
Loyal American Life Insurance Company
301172
Agent - Life
7/12/2016
1/12/2017
Inactive
Lumico Life Insurance Company
300354
Agent - Life
6/16/2019
7/28/2021
Inactive
Madison National Life Insurance Company Inc.
301458
Agent - Health
2/21/2018
1/29/2019
Inactive
Madison National Life Insurance Company Inc.
301458
Agent - Life
2/21/2018
1/29/2019
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
5/22/2018
5/24/2019
Inactive
National Health Insurance Company
300554
Agent - Health
4/14/2016
12/28/2020
Inactive
Occidental Life Insurance Company of North Carolina
301185
Agent - Life
7/27/2018
7/28/2021
Inactive
Omaha Insurance Company
751908
Agent - Health
10/1/2012
10/22/2013
Inactive
S.USA Life Insurance Company, Inc.
301774
Agent - Health
3/9/2017
7/28/2021
Inactive
S.USA Life Insurance Company, Inc.
301774
Agent - Life
12/19/2018
7/28/2021
Inactive
Security Life Insurance Company of America
300936
Agent - Health
7/28/2016
12/31/2016
Inactive
Security Life Insurance Company of America
300936
Agent - Life
7/28/2016
12/31/2016
Inactive
Senior Life Insurance Company
558267
Agent - Life
8/11/2016
5/15/2017
Inactive
Sentinel Security Life Insurance Company
935789
Agent - Health
10/31/2018
12/31/2020
Inactive
Sentinel Security Life Insurance Company
935789
Agent - Life
10/31/2018
12/31/2020
Inactive
Southern Guaranty Insurance Company
969411
Agent - Health
12/3/2019
7/28/2021
Inactive
Standard Security Life Insurance Company of NY
301487
Agent - Health
4/21/2016
12/26/2018
Inactive
Standard Security Life Insurance Company of NY
301487
Agent - Life
4/21/2016
12/26/2018
Inactive
Starr Indemnity and Liability Company
301685
Agent - Health
9/20/2011
3/26/2013
Inactive
Time Insurance Company
300683
Agent - Health
8/9/2012
1/22/2014
Inactive
Time Insurance Company
300683
Agent - Life
8/9/2012
1/22/2014
Inactive
Unified Life Insurance Company
543169
Agent - Health
12/9/2015
6/3/2021
Inactive
United States Fire Insurance Company
582240
Agent - Health
4/14/2020
7/28/2021
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
12/21/2011
12/26/2012
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
12/21/2011
12/26/2012
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
9/8/2011
6/19/2012
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
9/8/2011
6/19/2012
Inactive
Washington National Insurance Company
300587
Agent - Health
1/8/2020
1/14/2021
Inactive
Washington National Insurance Company
300587
Agent - Life
1/8/2020
1/14/2021
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Health Plan Intermediaries Holdings
786463
Agent - Health
12/1/2018
7/28/2021
Inactive
Health Plan Intermediaries Holdings
786463
Agent - Life
12/1/2018
7/28/2021
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