DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Rosen, Jonathan	DOIID	367939	NAIC NPN	2880293

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/27/1999	6/30/2006
Inactive	Non Resident	Agent	Health	7/27/1999	6/30/2006
* 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	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	8/11/2005	6/30/2006
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	10/16/2003	6/30/2006
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	10/16/2003	6/30/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	11/8/1999	6/30/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	11/8/1999	6/30/2006
Inactive	New England Life Insurance Company	300343	Agent - Health	7/27/1999	6/30/2006
Inactive	New England Life Insurance Company	300343	Agent - Life	7/27/1999	6/30/2006
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/5/2001	11/10/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/5/2001	11/10/2004
Inactive	Pruco Life Insurance Company	300954	Agent - Life	3/27/2002	6/30/2006
Inactive	Prudential Insurance Company of America	300784	Agent - Life	3/27/2002	6/30/2006
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	11/5/2001	11/10/2004
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	11/5/2001	11/10/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	United Securities Alliance, Inc.	524470	Agent - Life	10/14/2002	4/18/2003
Inactive	United Securities Alliance, Inc.	524470	Agent - Health	10/14/2002	4/18/2003