DEPARTMENT OF INSURANCE

Affiliations

Name	Burt, Justin James	DOIID	875437	NAIC NPN	17235151

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	4/17/2015	11/30/2025
Active	Non Resident	Agent	Life	4/17/2015	11/30/2025
* 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	ACE American Insurance Company	300625	Agent - Health	12/30/2016	12/26/2018
Inactive	AXIS Insurance Company	301290	Agent - Health	2/18/2016	3/27/2023
Inactive	Accendo Insurance Company	300312	Agent - Health	10/13/2021	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	2/6/2024
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/21/2021	7/8/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	10/13/2021	2/6/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/21/2021	7/8/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/21/2021	7/8/2022
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/19/2019	7/24/2020
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	6/9/2015	2/12/2019
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Life	6/9/2015	2/12/2019
Active	CareSource Kentucky Co.	838179	Agent - Health	11/28/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	11/17/2020	12/9/2021
Inactive	Companion Life Insurance Company	300191	Agent - Health	10/3/2016	11/10/2017
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	2/6/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	10/13/2021	2/6/2024
Inactive	Everest Reinsurance Company	301836	Agent - Health	11/21/2016	4/1/2021
Inactive	Federal Insurance Company	301144	Agent - Health	12/30/2016	12/26/2018
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	4/29/2015	7/10/2017
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	4/29/2015	7/10/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/17/2015	10/21/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/17/2015	10/21/2017
Inactive	HCC Life Insurance Company	301827	Agent - Health	11/17/2015	10/3/2016
Inactive	National Health Insurance Company	300554	Agent - Health	7/24/2015	12/11/2019
Inactive	National Health Insurance Company	300554	Agent - Life	7/24/2015	12/11/2019
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/21/2021	7/8/2022
Inactive	Unified Life Insurance Company	543169	Agent - Health	11/17/2015	12/28/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/19/2020	2/21/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/19/2020	2/21/2022
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	8/17/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	8/17/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/19/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/19/2020	2/21/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/18/2020	12/23/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/18/2020	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American National Benefits Group LLC	830346	Agent - Life	8/8/2016	3/31/2019
Inactive	American National Benefits Group LLC	830346	Agent - Health	8/8/2016	3/31/2019
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	7/11/2019	4/18/2022