DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burnett, Meredith Dyan	DOIID	773039	NAIC NPN	16514089

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	2/8/2012	6/1/2016
Inactive	Resident	Agent	Health	2/8/2012	6/1/2016
* 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	American Continental Insurance Company	643130	Agent - Health	11/1/2014	5/23/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/17/2013	11/24/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/17/2013	11/24/2015
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/15/2015	2/23/2016
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/15/2015	2/23/2016
Inactive	Humana Insurance Company	301104	Agent - Health	3/9/2012	7/10/2013
Inactive	Humana Insurance Company	301104	Agent - Life	3/9/2012	7/10/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/20/2012	7/10/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/20/2012	7/10/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/14/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/14/2012	12/19/2012
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/8/2013	10/29/2015
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	10/29/2014	7/13/2016
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	10/29/2014	7/13/2016
Inactive	Medico Insurance Company	301559	Agent - Health	10/29/2014	7/13/2016
Inactive	Medico Insurance Company	301559	Agent - Life	10/29/2014	7/13/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	12/1/2014	6/1/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/17/2013	11/24/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/16/2013	11/24/2015
Inactive	Life Assoc Inc	398569	Agent - Life	11/25/2014	6/1/2016
Inactive	Life Assoc Inc	398569	Agent - Health	11/25/2014	6/1/2016
Inactive	Planchoice Inc.	400482	Agent - Life	12/2/2014	6/1/2016
Inactive	Planchoice Inc.	400482	Agent - Health	12/2/2014	6/1/2016