DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Couzens, Roseann Charmain	DOIID	1210024	NAIC NPN	20343640

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/9/2022	11/30/2025
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	6/27/2022	11/30/2025
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	12/15/2022	11/30/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/27/2022	11/30/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/27/2022	11/30/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	5/30/2023	2/2/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/15/2022	11/30/2025
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/8/2022	1/4/2024
Inactive	Humana Insurance Company	301104	Agent - Health	12/5/2022	1/4/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	6/27/2022	11/30/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Purpose Insurance Agency, LLC	1213960	Agent - Health	11/8/2023	10/3/2024