DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burgos, Justin W	DOIID	986278	NAIC NPN	8320839

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/2/2018		8/31/2026
Active	Non Resident	Agent	Property	3/2/2018		8/31/2026
* 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	Greenwich Insurance Company	301754	Agent - Casualty	11/22/2024
Active	Greenwich Insurance Company	301754	Agent - Property	11/22/2024
Inactive	XL Reinsurance America Inc.	300723	Agent - Casualty	2/25/2019	11/22/2024
Inactive	XL Reinsurance America Inc.	300723	Agent - Property	2/25/2019	11/22/2024
Active	XL Specialty Insurance Company	301605	Agent - Casualty	2/25/2019
Active	XL Specialty Insurance Company	301605	Agent - Property	2/25/2019
Active	Zurich American Insurance Company	301121	Agent - Casualty	3/9/2018
Active	Zurich American Insurance Company	301121	Agent - Property	3/9/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Property	3/19/2018	3/20/2018
Inactive	Willis Of Illinois Inc	398318	Agent - Casualty	3/19/2018	3/20/2018
Active	Willis Towers Watson Midwest, Inc	534348	Agent - Property	2/22/2019
Active	Willis Towers Watson Midwest, Inc	534348	Agent - Casualty	2/22/2019
Inactive	Willis of Minnesota, Inc.	569739	Agent - Property	3/20/2018	1/17/2019
Inactive	Willis of Minnesota, Inc.	569739	Agent - Casualty	3/20/2018	1/17/2019