Details for BURGESS, AMY
| License | Status | Expires | Number |
|---|---|---|---|
| Non-Resident Producer | Active | Jun 30, 2022 | 464820 |
| Accident and Hlth or Sickness | Active | Issued: Aug 09, 2018 | |
| Casualty | Active | Issued: Oct 10, 2014 | |
| Life | Active | Issued: Oct 16, 2013 | |
| Property | Active | Issued: Oct 10, 2014 | |
| Accident & Health | Inactive | Issued: Oct 16, 2013 |
| Agency Affiliations | City | State | License Number | Active Date | Status |
|---|---|---|---|---|---|
| DVM INSURANCE AGENCY | COLUMBUS | OH | 90176 | Nov 05, 2014 | Active |
| MERCER HEALTH & BENEFITS ADMINISTRATION LLC | NEW YORK | NY | 377420 | Oct 10, 2014 | Active |
| MERCER HEALTH & BENEFITS ADMINISTRATION LLC | NEW YORK | NY | 327765 | Oct 10, 2014 | Active |
| MERCER HEALTH & BENEFITS ADMINISTRATION LLC | NEW YORK | NY | 456057 | Oct 10, 2014 | Active |
| Company Affiliations | City | State | Type | Active Date |
|---|---|---|---|---|
| AMERICAN HERITAGE LIFE INSURANCE COMPANY | JACKSONVILLE | FL | Life | Nov 06, 2014 |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY | JACKSONVILLE | FL | Accident and Hlth or Sickness | Aug 09, 2018 |
| NATIONAL CASUALTY COMPANY | COLUBUS | OH | Property, Casualty | Nov 04, 2014 |
| PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY | PORTLAND | ME | Life | Sep 29, 2014 |
| PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY | PORTLAND | ME | Accident and Hlth or Sickness | Aug 09, 2018 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | PORTLAND | ME | Life | Sep 29, 2014 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | PORTLAND | ME | Accident and Hlth or Sickness | Aug 09, 2018 |