DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burgos, Christopher Kim	DOIID	976111	NAIC NPN	8773180

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/9/2017		1/31/2026
Active	Non Resident	Agent	Health	11/9/2017		1/31/2026
* 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
Inactive	AXIS Insurance Company	301290	Agent - Health	7/9/2020	7/24/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/2/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/2/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	6/2/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/5/2021	8/21/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/5/2021	8/21/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/5/2021	8/21/2023
Inactive	Aspen American Insurance Company	301513	Agent - Health	12/5/2019	12/15/2020
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/19/2023
Active	CareSource Kentucky Co.	838179	Agent - Health	8/8/2023
Inactive	Federal Insurance Company	301144	Agent - Health	11/7/2018	11/11/2019
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	11/25/2019	12/5/2019
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	11/25/2019	12/4/2019
Active	Golden Rule Insurance Company	301943	Agent - Health	12/7/2023
Active	Golden Rule Insurance Company	301943	Agent - Life	12/7/2023
Inactive	LifeShield National Insurance Company	737111	Agent - Health	11/19/2018	11/15/2019
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	1/27/2020	12/6/2022
Active	SilverScript Insurance Company	663526	Agent - Health	6/2/2022
Inactive	United States Fire Insurance Company	582240	Agent - Health	11/16/2020	5/8/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	3/27/2023	9/8/2023
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/27/2023	5/15/2024
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	1/10/2020	8/15/2022
Inactive	Ushealth Advisors Llc	713288	Agent - Life	11/25/2019	12/4/2019
Inactive	Ushealth Advisors Llc	713288	Agent - Health	11/25/2019	12/4/2019