DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burch, Janet Lee	DOIID	760803	NAIC NPN	1844723

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/12/2011	6/30/2017
Inactive	Non Resident	Agent	Life	8/12/2011	6/30/2017
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	3/17/2015	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/17/2015	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/17/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	3/19/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	3/19/2015	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/17/2015	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/17/2015	12/8/2015
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/24/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/24/2012	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/17/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/17/2015	10/22/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/16/2012	12/17/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/16/2012	12/17/2015
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2015	12/17/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBISA Reaquisitian Corp	547026	Agent - Life	9/15/2011	9/3/2013
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	8/4/2015	12/17/2015
Denied	Designated Agent Company Inc.	681257	Agent - Life
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/9/2013	12/17/2015