DEPARTMENT OF INSURANCE
Affiliations
NameBurk, Roy WDOIID674761NAIC NPN7091272
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife12/23/2009 4/30/2027
ActiveNon ResidentAgentHealth12/23/2009 4/30/2027
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE Property and Casualty Insurance Company300520Agent - Health10/18/2024 
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health9/10/2019 
InactiveAetna Health and Life Insurance Company300523Agent - Health1/17/201712/15/2020
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/6/2020 
ActiveAetna Life Insurance Company301140Agent - Health12/2/2017 
ActiveAetna Life Insurance Company301140Agent - Life12/2/2017 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health7/23/2023 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/28/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
InactiveAnthem Life Insurance Company301209Agent - Health12/30/20094/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life12/30/20094/15/2025
ActiveArcadian Health Plan, Inc.728196Agent - Health10/29/2020 
InactiveAssured Life Association300353Agent - Health8/27/20197/22/2020
InactiveAthene Annuity & Life Assurance Company301798Agent - Life11/26/20084/30/2009
InactiveCHA HMO, Inc.300662Agent - Health4/28/202312/12/2024
ActiveCIGNA Health & Life Insurance Company301783Agent - Health11/23/2024 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health12/20/2022 
ActiveCareSource Kentucky Co.838179Agent - Health11/15/2019 
InactiveCompBenefits Dental, Inc.591692Agent - Health3/1/201612/13/2016
ActiveCompBenefits Insurance Company301864Agent - Health2/17/2025 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/16/2021 
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/201812/15/2020
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life3/10/2021 
InactiveCoventry Health and Life Insurance Company301771Agent - Health12/27/20084/30/2009
InactiveDental Concern Inc. (The)301641Agent - Health3/1/201612/13/2016
InactiveElixir Insurance Company696846Agent - Health10/8/201910/6/2020
InactiveFirst Health Life & Health Insurance Company301735Agent - Health3/19/20126/18/2016
InactiveForethought Life Insurance Company301407Agent - Health7/19/201311/7/2014
ActiveGolden Rule Insurance Company301943Agent - Health12/9/2022 
ActiveGolden Rule Insurance Company301943Agent - Life12/9/2022 
ActiveHealthSpring Life and Health Insurance Company, Inc.684899Agent - Health11/23/2024 
ActiveHealthspring Healthcare of Colorado, Inc.1098153Agent - Health11/23/2024 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health9/4/201812/10/2018
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/10/20122/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health9/4/201812/10/2018
ActiveHumana Insurance Company301104Agent - Health10/12/2010 
ActiveHumana Insurance Company301104Agent - Life10/12/2010 
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/14/20116/15/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life2/10/20126/15/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health9/4/201812/10/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health9/4/201812/10/2018
InactiveIndependent Order of Foresters300743Agent - Life2/4/202112/28/2021
InactiveKanawha Insurance Company300127Agent - Health9/13/201210/22/2015
InactiveKanawha Insurance Company300127Agent - Life9/13/201210/22/2015
ActiveLifeShield National Insurance Company737111Agent - Health8/11/2024 
ActiveLifeShield National Insurance Company737111Agent - Life8/11/2024 
ActiveMedco Containment Life Insurance Company301557Agent - Health11/21/2024 
InactiveMedico Corp Life Insurance Company301777Agent - Health12/5/201412/21/2016
InactiveMedico Corp Life Insurance Company301777Agent - Life12/5/201412/21/2016
InactiveMedico Insurance Company301559Agent - Health1/19/20246/20/2025
InactiveMedico Insurance Company301559Agent - Life1/19/20246/20/2025
InactiveMutual of Omaha Insurance Company301012Agent - Health1/12/201212/26/2012
InactiveNassau Life Insurance Company of Kansas300667Agent - Health10/11/201112/13/2012
InactiveNassau Life Insurance Company of Kansas300667Agent - Life10/11/201112/13/2012
InactiveOmaha Health Insurance Company301296Agent - Health8/20/202112/27/2024
InactiveOmaha Insurance Company751908Agent - Health9/30/20148/24/2015
InactiveOxford Life Insurance Company301079Agent - Life5/1/201912/2/2021
InactivePacifiCare Life and Health Insurance Company301304Agent - Health6/24/201111/4/2011
InactivePacifiCare Life and Health Insurance Company301304Agent - Life9/13/20084/30/2009
ActiveSilverScript Insurance Company663526Agent - Health5/21/2014 
InactiveUnited of Omaha Life Insurance Company300156Agent - Health1/12/20126/24/2013
InactiveUnited of Omaha Life Insurance Company300156Agent - Life1/12/20126/24/2013
ActiveUnitedHealthcare Insurance Company300946Agent - Health12/20/2022 
InactiveUnitedHealthcare Insurance Company300946Agent - Life9/13/20084/30/2009
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/13/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health10/8/20205/7/2021
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health10/8/20205/7/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health6/24/201112/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health12/20/2022 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health11/29/2022 
InactiveWellCare Health Insurance of Arizona, Inc.501692Agent - Health9/25/20084/30/2009
ActiveWellCare Prescription Insurance Inc.654329Agent - Health3/8/2019 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBenefit Plans Of America LLC615743Agent - Life12/30/2009 
ActiveBenefit Plans Of America LLC615743Agent - Health12/30/2009 
InactiveDesignated Agent Company Inc.681257Agent - Life12/9/20132/3/2025
InactiveDesignated Agent Company Inc.681257Agent - Health12/9/20132/3/2025

© Commonwealth of Kentucky. All rights reserved.