DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rosen, Nicholas	DOIID	1358523	NAIC NPN	21238192

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/29/2024		7/31/2026
* 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	05/15/2026	07/31/2026

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	9/12/2024	5/28/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/12/2024	5/28/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/12/2024	5/28/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/29/2024	5/14/2025
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/1/2024	5/14/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/1/2024	5/14/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/12/2024	5/28/2025
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/25/2024	3/3/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	1/29/2025	2/24/2025