DEPARTMENT OF INSURANCE

Affiliations

Name	Burgh, Kirsten M	DOIID	929228	NAIC NPN	9393104

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	9/14/2016	9/30/2025
Active	Non Resident	Agent	Life	9/14/2016	9/30/2025
* 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	American Family Life Insurance Company	844831	Agent - Life	12/6/2019	7/19/2022
Active	American General Life Insurance Company	301585	Agent - Health	9/19/2016
Active	American General Life Insurance Company	301585	Agent - Life	9/19/2016
Inactive	American National Insurance Company	301861	Agent - Health	9/16/2016	5/26/2021
Active	American National Insurance Company	301861	Agent - Life	9/16/2016
Active	Banner Life Insurance Company	301696	Agent - Life	9/27/2016
Inactive	C.M. Life Insurance Company	301335	Agent - Life	7/31/2020	3/21/2024
Inactive	Columbian Life Insurance Company	300810	Agent - Life	8/17/2017	7/11/2024
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	6/28/2017	12/29/2020
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	6/28/2017	12/29/2020
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	1/28/2022
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	1/28/2022
Active	Minnesota Life Insurance Company	300488	Agent - Health	3/8/2017
Active	Minnesota Life Insurance Company	300488	Agent - Life	3/8/2017
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/21/2019	1/23/2023
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	9/27/2016	7/22/2017
Active	Pruco Life Insurance Company	300954	Agent - Life	9/19/2016
Active	Transamerica Life Insurance Company	300571	Agent - Health	9/16/2016
Active	Transamerica Life Insurance Company	300571	Agent - Life	9/16/2016
Inactive	United World Life Insurance Company	300532	Agent - Health	11/21/2019	1/23/2023
Active	United of Omaha Life Insurance Company	300156	Agent - Health	11/20/2019
Active	United of Omaha Life Insurance Company	300156	Agent - Life	11/20/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Life Quotes, Inc	510340	Agent - Life	7/29/2020
Active	Life Quotes, Inc	510340	Agent - Health	7/29/2020