DEPARTMENT OF INSURANCE

Affiliations

Name	Burgess, Mo	DOIID	906087	NAIC NPN	17848015

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	10/27/2016	9/30/2026
Active	Resident	Agent	Health	2/23/2016	9/30/2026
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/10/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/10/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	10/10/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/23/2016	7/25/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	11/20/2016	7/25/2018
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/28/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/28/2023	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/28/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	8/15/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/24/2023
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/7/2020	7/14/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/28/2023
Inactive	Continental American Insurance Company	301700	Agent - Health	10/19/2016	9/6/2018
Inactive	Continental American Insurance Company	301700	Agent - Life	10/27/2016	9/6/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/26/2023	12/12/2024
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/15/2023
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/13/2020	7/14/2023
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/16/2018	7/14/2023
Active	Humana Insurance Company	301104	Agent - Health	8/15/2023
Inactive	Humana Insurance Company	301104	Agent - Life	7/16/2018	7/14/2023
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/16/2018	8/6/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/16/2018	8/6/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/15/2023	12/12/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/15/2023	12/12/2024
Inactive	Independent Order of Foresters	300743	Agent - Health	2/1/2022	12/23/2022
Inactive	Independent Order of Foresters	300743	Agent - Life	2/1/2022	12/23/2022
Active	SilverScript Insurance Company	663526	Agent - Health	10/10/2023
Inactive	United World Life Insurance Company	300532	Agent - Health	3/12/2021	5/22/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/24/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/24/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/3/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	6/18/2019	7/14/2023