DEPARTMENT OF INSURANCE

Affiliations

Name	Burcham, Stefanie L	DOIID	752865	NAIC NPN	5493716

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	4/26/2011	4/30/2026
Active	Non Resident	Agent	Life	4/26/2011	4/30/2026
* 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	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	8/18/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/9/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	8/18/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/22/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/9/2021
Active	All Savers Insurance Company	301940	Agent - Health	12/19/2022
Active	All Savers Insurance Company	301940	Agent - Life	12/19/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/3/2013	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/3/2013	4/15/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/8/2011	12/8/2015
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/18/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	8/18/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/8/2011	12/8/2015
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	8/22/2018	6/16/2022
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	8/22/2018	6/16/2022
Inactive	HCC Life Insurance Company	301827	Agent - Health	10/23/2016	7/14/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	4/20/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/24/2019	4/8/2020
Inactive	Humana Insurance Company	301104	Agent - Health	6/8/2011	4/20/2018
Inactive	Humana Insurance Company	301104	Agent - Life	6/8/2011	4/20/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/14/2011	4/20/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/10/2012	4/20/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	4/20/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/20/2018
Inactive	HumanaDental Insurance Company	301457	Agent - Health	6/8/2011	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	6/8/2011	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/8/2011	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/8/2011	10/22/2015
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	11/5/2013	10/29/2015
Active	SilverScript Insurance Company	663526	Agent - Health	9/22/2020
Active	Tier One Insurance Company	301056	Agent - Health	11/18/2022
Active	Tier One Insurance Company	301056	Agent - Life	11/18/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/19/2022	12/17/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/19/2022	12/17/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/19/2022
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/19/2022	12/17/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/7/2019	12/28/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/7/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Life	10/3/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	10/3/2013