DEPARTMENT OF INSURANCE

Affiliations

Name	Burstein, Galena A	DOIID	769597	NAIC NPN	16472753

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	11/26/2012	7/1/2014
Inactive	Resident	Agent	Life	9/15/2020	7/1/2022
Inactive	Resident	Agent	Health	9/15/2020	7/1/2022
Inactive	Resident	Agent	Property	11/26/2012	7/1/2014
* 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	Accendo Insurance Company	300312	Agent - Life	6/10/2020	6/30/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	12/15/2015	6/30/2020
Inactive	American Continental Insurance Company	643130	Agent - Health	10/9/2012	7/1/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	1/6/2016	6/30/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/8/2012	4/17/2012
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021	7/1/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/28/2015	6/30/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/28/2015	6/30/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/9/2012	7/1/2014
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/4/2021	7/1/2022
Inactive	Humana Insurance Company	301104	Agent - Health	8/1/2015	7/12/2018
Inactive	Humana Insurance Company	301104	Agent - Life	8/1/2015	7/12/2018
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/30/2012	10/22/2013
Inactive	New York Life Insurance Company	300431	Agent - Health	4/26/2012	10/3/2012
Inactive	New York Life Insurance Company	300431	Agent - Life	4/26/2012	10/3/2012
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	4/26/2012	10/3/2012
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	4/26/2012	10/3/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	11/30/2012	10/22/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/30/2012	10/22/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/30/2012	10/22/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/17/2015	3/10/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/13/2016	3/10/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/17/2015	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/17/2015	3/10/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/28/2015	6/30/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Life	7/28/2015	6/30/2020