DEPARTMENT OF INSURANCE

Affiliations

Name	Burgos, Christopher Kim	DOIID	976111	NAIC NPN	8773180

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	11/9/2017	1/31/2026
Active	Non Resident	Agent	Health	11/9/2017	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	AXIS Insurance Company	301290	Agent - Health	7/9/2020	7/24/2023
Active	Accendo Insurance Company	300312	Agent - Life	5/6/2025
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/2/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	5/6/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/2/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	6/2/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/5/2021	8/21/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/5/2021	8/21/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/5/2021	8/21/2023
Inactive	Aspen American Insurance Company	301513	Agent - Health	12/5/2019	12/15/2020
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/19/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/6/2024	10/31/2024
Active	CareSource Kentucky Co.	838179	Agent - Health	8/8/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/6/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	5/6/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	10/4/2024
Inactive	Federal Insurance Company	301144	Agent - Health	11/7/2018	11/11/2019
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	11/25/2019	12/5/2019
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	11/25/2019	12/4/2019
Active	Golden Rule Insurance Company	301943	Agent - Health	12/7/2023
Active	Golden Rule Insurance Company	301943	Agent - Life	12/7/2023
Inactive	LifeShield National Insurance Company	737111	Agent - Health	11/19/2018	11/15/2019
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	6/16/2025
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	1/27/2020	12/6/2022
Active	SilverScript Insurance Company	663526	Agent - Health	6/2/2022
Active	Tier One Insurance Company	301056	Agent - Health	5/7/2025
Active	Tier One Insurance Company	301056	Agent - Life	5/7/2025
Inactive	United States Fire Insurance Company	582240	Agent - Health	11/16/2020	5/8/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/6/2024	10/31/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/6/2024	10/31/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	3/27/2023	9/8/2023
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/27/2023	5/15/2024
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	1/10/2020	8/15/2022
Inactive	Ushealth Advisors Llc	713288	Agent - Life	11/25/2019	12/4/2019
Inactive	Ushealth Advisors Llc	713288	Agent - Health	11/25/2019	12/4/2019