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.

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