DEPARTMENT OF INSURANCE
Affiliations
NameBurns, Mark FDOIID822724NAIC NPN543178
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentVariable Life and Variable Annuities10/1/2013 2/28/2025
ActiveNon ResidentAgentLife10/1/2013 2/28/2025
ActiveNon ResidentAgentHealth10/1/2013 2/28/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent12/15/202402/28/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBrighthouse Life Insurance Company301829Agent - Health8/22/2018 
ActiveBrighthouse Life Insurance Company301829Agent - Life8/22/2018 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities8/22/2018 
InactiveJackson National Life Insurance Company300486Agent - Life5/18/201710/4/2021
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities5/18/201710/4/2021
InactiveLincoln National Life Insurance Company (The)301382Agent - Health5/22/20176/30/2023
InactiveLincoln National Life Insurance Company (The)301382Agent - Life5/22/20176/30/2023
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities5/22/20176/30/2023
InactiveMetLife Investors Insurance Company301872Agent - Health10/14/201311/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Life10/14/201311/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities10/14/201311/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Health10/14/201311/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life10/14/201311/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities10/14/201311/14/2014
InactiveMetropolitan Life Insurance Company301948Agent - Health10/17/20135/24/2017
ActiveMetropolitan Life Insurance Company301948Agent - Life8/27/2018 
ActiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities8/27/2018 
InactiveNationwide Life Insurance Company300495Agent - Health5/26/201712/10/2018
InactiveNationwide Life Insurance Company300495Agent - Life5/26/201712/10/2018
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities5/26/201712/10/2018
InactiveState Life Insurance Company301497Agent - Health4/27/20154/20/2020
InactiveState Life Insurance Company301497Agent - Life4/27/20154/20/2020
InactiveTransamerica Life Insurance Company300571Agent - Life1/23/20154/18/2019
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities1/23/20154/18/2019
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveWells Fargo Advisors Insurance Agency LLC399972Agent - Life10/21/2013 
ActiveWells Fargo Advisors Insurance Agency LLC399972Agent - Variable Life and Variable Annuities10/21/2013 
ActiveWells Fargo Advisors Insurance Agency LLC399972Agent - Health10/21/2013 

© Commonwealth of Kentucky. All rights reserved.