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
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