DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burks, Carmen	DOIID	1025571	NAIC NPN	16707016

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/16/2019		11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	4/4/2023	9/18/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/4/2023	9/18/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/4/2023	9/18/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/11/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	12/19/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/11/2022	8/2/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/16/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/23/2021
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/25/2024
Inactive	Federal Insurance Company	301144	Agent - Health	3/15/2019	10/26/2021
Active	Golden Rule Insurance Company	301943	Agent - Health	2/5/2019
Active	Humana Insurance Company	301104	Agent - Health	1/28/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/4/2023	9/18/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/16/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/16/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/19/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	8/19/2023

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 - Health	11/4/2019	6/1/2022
Active	Gohealth LLC	691445	Agent - Health	2/14/2024
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	7/10/2019	1/25/2023