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DEPARTMENT OF INSURANCE
Affiliations
Name
Burdick, Jeanne M
DOIID
784846
NAIC NPN
15515606
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
6/25/2012
5/31/2015
Inactive
Non Resident
Agent
Life
6/25/2012
5/31/2015
* 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
Aetna Health Inc. (PA)
660717
Agent - Health
7/17/2012
5/31/2015
Inactive
Aetna Life Insurance Company
301140
Agent - Health
7/17/2012
5/31/2015
Inactive
Aetna Life Insurance Company
301140
Agent - Life
7/17/2012
5/31/2015
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
1/22/2014
5/1/2014
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
7/3/2012
5/1/2014
Inactive
Humana Insurance Company
301104
Agent - Health
7/3/2012
5/1/2014
Inactive
Humana Insurance Company
301104
Agent - Life
7/3/2012
5/1/2014
Inactive
Kanawha Insurance Company
300127
Agent - Health
7/3/2012
5/1/2014
Inactive
Kanawha Insurance Company
300127
Agent - Life
7/3/2012
5/1/2014
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
6/28/2012
5/31/2015
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
6/28/2012
5/31/2015
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
6/28/2012
5/31/2015
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
6/28/2012
5/31/2015
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 - Life
12/2/2013
5/31/2015
Inactive
Designated Agent Company Inc.
681257
Agent - Health
12/2/2013
5/31/2015
Inactive
Paychex Insurance Agency Inc
509469
Agent - Life
7/13/2012
2/18/2014
Inactive
Paychex Insurance Agency Inc
509469
Agent - Health
7/13/2012
2/18/2014
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