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	Life	9/18/2007	5/31/2026
Active	Non Resident	Agent	Health	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2024	05/31/2024	04/08/2024	04/08/2024	Yes

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	11/19/2015
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	11/19/2015
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	11/19/2015
Active	UNUM Life Insurance Company of America	300817	Agent - Life	11/19/2015
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