DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2026	07/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/15/2022	11/11/2024
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
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/14/2020	11/11/2024
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	1/2/2020	4/22/2022