DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burden, Mary A	DOIID	853347	NAIC NPN	7694502

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/24/2014		11/30/2024
Active	Non Resident	Agent	Health	9/24/2014		11/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/18/2023
Active	Anthem Life Insurance Company	301209	Agent - Health	4/18/2023
Active	Anthem Life Insurance Company	301209	Agent - Life	4/18/2023
Active	CareSource Kentucky Co.	838179	Agent - Health	6/13/2024
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	7/9/2021
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Life	7/9/2021
Inactive	Gerber Life Insurance Company	300529	Agent - Health	9/29/2014	11/15/2018
Inactive	Gerber Life Insurance Company	300529	Agent - Life	9/29/2014	11/15/2018
Active	Golden Rule Insurance Company	301943	Agent - Health	10/21/2021
Active	Golden Rule Insurance Company	301943	Agent - Life	10/21/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Health	7/16/2019	6/2/2020
Inactive	Lumico Life Insurance Company	300354	Agent - Life	7/16/2019	6/2/2020
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/19/2019	10/18/2019
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Life	2/19/2019	10/18/2019
Active	National Health Insurance Company	300554	Agent - Health	4/26/2024
Active	National Health Insurance Company	300554	Agent - Life	4/26/2024
Inactive	Omaha Insurance Company	751908	Agent - Health	10/18/2017	8/8/2018
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/19/2019	10/18/2019
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/19/2019	10/18/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/28/2021
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Life	12/28/2021
Denied	TZ Insurance Solutions LLC	727470	Agent - Health
Denied	TZ Insurance Solutions LLC	727470	Agent - Life