DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burner, Rebecca Darlene	DOIID	964160	NAIC NPN	16923116

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/17/2017		7/31/2026
Active	Non Resident	Agent	Life	8/17/2017		7/31/2026
* 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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/15/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/14/2020	7/31/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/8/2020	7/31/2024
Inactive	Aspen American Insurance Company	301513	Agent - Health	11/5/2019	12/1/2020
Inactive	CareSource Kentucky Co.	838179	Agent - Health	11/23/2021	7/24/2024
Inactive	Everest Reinsurance Company	301836	Agent - Health	9/19/2017	4/2/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/28/2017	7/24/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/28/2017	7/24/2024
Inactive	LifeShield National Insurance Company	737111	Agent - Health	1/31/2019	12/30/2020
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	11/8/2021	7/31/2024
Inactive	National Health Insurance Company	300554	Agent - Health	12/8/2020	7/25/2024
Inactive	National Health Insurance Company	300554	Agent - Life	12/8/2020	7/25/2024
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	1/7/2021	5/26/2023
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	9/5/2017	11/28/2022
Inactive	United States Fire Insurance Company	582240	Agent - Health	12/30/2020	4/5/2022
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	10/13/2021	8/9/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/14/2020	7/31/2024
Active	Designated Agent Company Inc.	681257	Agent - Health	2/14/2020
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	1/2/2020	4/22/2022