DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burns, Adam	DOIID	1094369	NAIC NPN	9667050

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/18/2020		3/31/2028
Active	Non Resident	Agent	Life	8/18/2020		3/31/2028
Active	Non Resident	Agent	Limited Line Credit	8/18/2020		3/31/2028
* 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	01/15/2026	03/31/2026	02/05/2026	02/05/2026	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Health and Life Insurance Company	300844	Agent - Health	8/21/2020	5/27/2025
Inactive	American Health and Life Insurance Company	300844	Agent - Life	8/21/2020	5/27/2025
Inactive	American Health and Life Insurance Company	300844	Agent - Limited Line Credit	8/21/2020	4/29/2025
Inactive	Triton Insurance Company	300654	Agent - Limited Line Credit	8/21/2020	4/29/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Onemain Assurance Services LLC	751094	Agent - Life	8/21/2020	4/29/2025
Inactive	Onemain Assurance Services LLC	751094	Agent - Health	8/21/2020	4/29/2025
Inactive	Onemain Assurance Services LLC	751094	Agent - Limited Line Credit	8/21/2020	4/29/2025