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
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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2025	11/30/2025

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
Inactive	Purpose Insurance Agency, LLC	1213960	Agent - Health	11/8/2023	10/3/2024