DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burgess, Aockquee Marie	DOIID	978982	NAIC NPN	18627494

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/14/2023		2/28/2026
Inactive	Resident	Agent	Limited Line Credit	12/18/2017	2/29/2020
* 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	AAA Life Insurance Company	300287	Agent - Life	12/1/2023	2/6/2024
Inactive	American Health and Life Insurance Company	300844	Agent - Limited Line Credit	12/18/2017	11/1/2018
Inactive	Merit Life Insurance Co.	300150	Agent - Limited Line Credit	12/18/2017	11/1/2018
Inactive	Triton Insurance Company	300654	Agent - Limited Line Credit	12/18/2017	11/1/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Interstate Agency Inc	610890	Agent - Limited Line Credit	8/10/2018	11/1/2018
Inactive	Onemain Assurance Services LLC	751094	Agent - Limited Line Credit	7/26/2018	11/1/2018