DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burmeister, Angela Rochelle	DOIID	816011	NAIC NPN	16990404

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/30/2013	7/31/2015
Inactive	Non Resident	Agent	Health	7/30/2013	7/31/2015
* 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	Chesapeake Life Insurance Company (The)	301017	Agent - Health	8/20/2013	9/13/2013
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	8/20/2013	9/13/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/13/2013	10/15/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/13/2013	10/15/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/7/2013	9/30/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/7/2013	9/30/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/13/2013	10/15/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/13/2013	10/15/2013
Inactive	Humana Insurance Company	301104	Agent - Health	8/13/2013	10/15/2013
Inactive	Humana Insurance Company	301104	Agent - Life	8/13/2013	10/15/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/13/2013	10/15/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/13/2013	10/15/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/13/2013	10/15/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/13/2013	10/15/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	F B P Ins Services LLC	568596	Agent - Life
Denied	F B P Ins Services LLC	568596	Agent - Health