DEPARTMENT OF INSURANCE

Affiliations

Name	Burgess, Stephan	DOIID	964344	NAIC NPN	18472818

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/18/2017		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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	12/22/2021	3/4/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/31/2017	9/18/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	8/26/2020	3/4/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/27/2020	9/18/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/31/2017	9/18/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/15/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	3/15/2023	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/15/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	3/15/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	4/7/2023	6/24/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	3/15/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/26/2020	3/4/2023
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/30/2024
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/31/2017	9/18/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/5/2017	12/10/2018
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/29/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/5/2017	6/8/2018
Active	Humana Insurance Company	301104	Agent - Health	6/9/2023
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/5/2017	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/5/2017	6/8/2018
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	3/24/2025
Inactive	Lumico Life Insurance Company	300354	Agent - Health	6/25/2020	11/24/2020
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/25/2020	1/23/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	9/18/2024
Inactive	United World Life Insurance Company	300532	Agent - Health	8/25/2020	1/23/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/25/2020	1/23/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/7/2023	6/24/2025
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/7/2023	6/24/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/20/2020	12/28/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	1/9/2024

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	5/3/2019	12/16/2020
Active	Gohealth LLC	691445	Agent - Health	2/19/2024
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	11/12/2018	12/5/2022