DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	12/15/2025	02/28/2026

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