DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Zamora, Rosie	DOIID	1102589	NAIC NPN	19472901

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/4/2020		9/30/2025
Active	Non Resident	Agent	Life	10/4/2020		9/30/2025
* 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	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	10/12/2023
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	10/12/2023
Active	Starmount Life Insurance Company	628031	Agent - Health	10/12/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Health	10/12/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Life	10/12/2023
Active	Unum Insurance Company	301499	Agent - Health	10/12/2023
Active	Unum Insurance Company	301499	Agent - Life	10/12/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Optavise, LLC	671337	Agent - Life	10/22/2020	8/22/2023
Inactive	Optavise, LLC	671337	Agent - Health	10/22/2020	8/22/2023