DEPARTMENT OF INSURANCE

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
Active	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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/27/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/15/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/27/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	6/27/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	5/30/2023	2/2/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/15/2022
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
Active	SilverScript Insurance Company	663526	Agent - Health	6/27/2022

Designated to act on behalf of the following Business Entities

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