DEPARTMENT OF INSURANCE

Affiliations

Name	Burgos, Rosalina	DOIID	664217	NAIC NPN	8054320

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	9/18/2007	5/31/2026
Active	Non Resident	Agent	Life	9/18/2007	5/31/2026
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/24/2014	7/2/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/24/2014	7/2/2018
Inactive	American General Assurance Company	300586	Agent - Health	5/28/2010	12/31/2012
Inactive	American General Assurance Company	300586	Agent - Life	5/28/2010	12/31/2012
Inactive	American General Life Insurance Company	301585	Agent - Health	12/31/2012	12/15/2016
Inactive	American General Life Insurance Company	301585	Agent - Life	12/31/2012	12/15/2016
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	5/20/2010	12/30/2011
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	5/20/2010	12/30/2011
Active	Boston Mutual Life Insurance Company	300143	Agent - Health	4/11/2008
Active	Boston Mutual Life Insurance Company	300143	Agent - Life	4/11/2008
Active	Continental American Insurance Company	301700	Agent - Health	7/6/2021
Active	Continental American Insurance Company	301700	Agent - Life	7/6/2021
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/16/2021	7/15/2022
Inactive	HM Life Insurance Company	301408	Agent - Health	10/19/2007	12/14/2016
Inactive	HM Life Insurance Company	301408	Agent - Life	10/19/2007	12/14/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/22/2009	5/4/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/22/2009	5/4/2017
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	9/10/2024
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	9/10/2024
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	3/11/2008	12/18/2020
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	3/11/2008	12/18/2020
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Health	3/11/2008	6/26/2008
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Life	3/11/2008	6/26/2008
Active	Starmount Life Insurance Company	628031	Agent - Health	9/30/2022
Inactive	Texas Life Insurance Company	300345	Agent - Life	10/31/2017	11/25/2019
Active	Transamerica Life Insurance Company	300571	Agent - Health	6/3/2022
Active	Transamerica Life Insurance Company	300571	Agent - Life	6/3/2022
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	10/18/2007	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	10/18/2007	10/1/2008
Inactive	Trustmark Insurance Company	300317	Agent - Health	1/6/2009	4/15/2013
Inactive	Trustmark Insurance Company	300317	Agent - Life	1/6/2009	4/15/2013
Active	UNUM Life Insurance Company of America	300817	Agent - Health	9/10/2024
Active	UNUM Life Insurance Company of America	300817	Agent - Life	9/10/2024
Active	Unum Insurance Company	301499	Agent - Health	9/30/2022
Active	Unum Insurance Company	301499	Agent - Life	9/30/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aon Consulting Inc NJ	399932	Agent - Health	6/1/2020
Active	Aon Consulting Inc NJ	399932	Agent - Life	6/1/2020
Inactive	The Farmington Company	534046	Agent - Health	10/22/2007	3/31/2021
Inactive	The Farmington Company	534046	Agent - Life	10/22/2007	3/31/2021