DEPARTMENT OF INSURANCE

Affiliations

Name	Burgess, Bryan Ralph	DOIID	636062	NAIC NPN	8857762

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	8/14/2012	1/31/2026
Active	Resident	Agent	Life	7/24/2006	1/31/2026
Active	Resident	Agent	Property	8/14/2012	1/31/2026
Active	Resident	Agent	Health	7/24/2006	1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/1/2022	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	9/1/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	9/1/2022
Active	All Savers Insurance Company	301940	Agent - Health	2/23/2024
Active	All Savers Insurance Company	301940	Agent - Life	2/23/2024
Inactive	American Fidelity Assurance Company	301004	Agent - Health	1/5/2008	12/10/2010
Inactive	American Fidelity Assurance Company	301004	Agent - Life	1/5/2008	12/10/2010
Inactive	American General Life Insurance Company	301585	Agent - Health	6/28/2022	6/24/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	6/28/2022	6/24/2024
Active	American Heritage Life Insurance Company	300272	Agent - Health	4/13/2015
Active	American Heritage Life Insurance Company	300272	Agent - Life	4/13/2015
Active	American United Life Insurance Company	300498	Agent - Health	11/10/2015
Active	American United Life Insurance Company	300498	Agent - Life	11/10/2015
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	6/30/2022	11/16/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/24/2006
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/24/2006	10/10/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/24/2006	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/24/2006	4/15/2025
Inactive	Banner Life Insurance Company	301696	Agent - Life	12/10/2014	8/16/2018
Active	Berkshire Life Insurance Company of America	300983	Agent - Health	8/3/2018
Active	Berkshire Life Insurance Company of America	300983	Agent - Life	8/3/2018
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	5/21/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/16/2015	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/12/2019	12/15/2020
Inactive	CompBenefits Insurance Company	301864	Agent - Life	11/5/2009	7/2/2013
Inactive	Companion Life Insurance Company	300191	Agent - Health	1/2/2020	2/29/2024
Inactive	Companion Life Insurance Company	300191	Agent - Life	1/2/2020	2/29/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/1/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	9/1/2022
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	11/7/2006	12/28/2009
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	11/7/2006	12/28/2009
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/15/2017	12/12/2024
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	11/6/2012
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	11/6/2012
Active	Guardian Life Insurance Company of America	301316	Agent - Health	8/2/2006
Active	Guardian Life Insurance Company of America	301316	Agent - Life	8/2/2006
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	11/15/2010
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	11/15/2010
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/29/2021	12/12/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/29/2021	12/12/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/15/2017	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	11/15/2017	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Life	11/15/2017	12/12/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/2/2020	12/12/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/2/2020	12/12/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/29/2021	12/12/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	1/29/2021	12/12/2024
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/5/2008	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/5/2008	5/13/2013
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	4/30/2008	11/9/2009
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	4/30/2008	11/9/2009
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	10/20/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	10/20/2017
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	12/13/2013	10/29/2015
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	9/12/2022	11/15/2023
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	2/4/2020
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Life	2/4/2020
Active	Metropolitan Life Insurance Company	301948	Agent - Health	8/22/2022
Active	Metropolitan Life Insurance Company	301948	Agent - Life	8/22/2022
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	5/14/2014
Inactive	Omaha Insurance Company	751908	Agent - Health	5/14/2014	8/8/2018
Active	Pan-American Life Insurance Company	301530	Agent - Health	1/12/2023
Active	Pan-American Life Insurance Company	301530	Agent - Life	1/12/2023
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	5/28/2025
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	5/28/2025
Inactive	Pruco Life Insurance Company	300954	Agent - Life	5/20/2014	12/23/2014
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	6/21/2008	6/10/2022
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	6/21/2008	6/10/2022
Active	Standard Insurance Company	300185	Agent - Health	7/4/2013
Active	Standard Insurance Company	300185	Agent - Life	7/4/2013
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	10/28/2024
Active	Starmount Life Insurance Company	628031	Agent - Health	5/28/2025
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	11/14/2019
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	11/14/2019
Active	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Health	5/1/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	3/20/2010	5/28/2021
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	3/20/2010	5/28/2021
Inactive	Trustmark Insurance Company	300317	Agent - Health	1/24/2015	4/27/2018
Inactive	Trustmark Insurance Company	300317	Agent - Life	1/24/2015	4/27/2018
Active	UNUM Life Insurance Company of America	300817	Agent - Health	5/28/2025
Active	UNUM Life Insurance Company of America	300817	Agent - Life	5/28/2025
Inactive	Union Security Insurance Company	301844	Agent - Health	6/26/2015	1/29/2021
Inactive	Union Security Insurance Company	301844	Agent - Life	6/26/2015	1/29/2021
Active	United of Omaha Life Insurance Company	300156	Agent - Health	9/18/2012
Active	United of Omaha Life Insurance Company	300156	Agent - Life	9/18/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/1/2016	5/2/2018
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	7/1/2016
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/1/2016
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/1/2022
Active	Unum Insurance Company	301499	Agent - Health	5/28/2025
Active	Unum Insurance Company	301499	Agent - Life	5/28/2025
Active	Vision Service Plan Insurance Company	300526	Agent - Health	10/5/2022
Inactive	West Coast Life Insurance Company	301607	Agent - Health	9/14/2007	11/23/2009
Inactive	West Coast Life Insurance Company	301607	Agent - Life	9/14/2007	11/23/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/23/2008	1/4/2013
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/23/2008	1/4/2013
Active	Assuredpartners NL, LLC	762387	Agent - Health	4/16/2012
Active	Assuredpartners NL, LLC	762387	Agent - Life	4/16/2012
Active	Dental Choice Agency Inc.	398085	Agent - Health	10/23/2019
Active	Houchens Insurance Group, Inc.	637099	Agent - Health	1/27/2017
Active	Houchens Insurance Group, Inc.	637099	Agent - Life	1/27/2017
Denied	Houchens Insurance Group, Inc.	637099	Agent - Casualty
Denied	Houchens Insurance Group, Inc.	637099	Agent - Property