DEPARTMENT OF INSURANCE

Affiliations

Name	Rosa, Juan	DOIID	858032	NAIC NPN	16937318

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	10/24/2014	1/31/2018
Inactive	Non Resident	Agent	Health	10/24/2014	1/31/2018
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	4/5/2016	11/19/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/5/2016	11/19/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/5/2016	11/19/2016
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/9/2016	12/18/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/4/2016	9/9/2016
Inactive	Continental American Insurance Company	301700	Agent - Health	10/27/2014	2/17/2016
Inactive	Continental American Insurance Company	301700	Agent - Life	10/27/2014	2/17/2016
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	4/5/2016	11/19/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/4/2016	9/9/2016
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	4/5/2016	11/19/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/4/2016	9/9/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/4/2016	9/9/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/4/2016	9/9/2016
Inactive	Humana Insurance Company	301104	Agent - Health	4/4/2016	9/9/2016
Inactive	Humana Insurance Company	301104	Agent - Life	4/4/2016	9/9/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/4/2016	9/9/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/4/2016	9/9/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/4/2016	9/9/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/20/2015	2/16/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/20/2015	2/16/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	11/4/2014	1/31/2018
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	11/4/2014	1/31/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/11/2016	12/29/2016
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	5/20/2015	2/16/2016
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/20/2015	2/16/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/29/2016	8/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/29/2016	8/1/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/29/2016	8/1/2016
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	6/22/2016	8/12/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/11/2016	12/20/2016
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	3/29/2016	7/29/2016
Inactive	eHealthInsurance Services Inc.	514105	Agent - Life	3/29/2016	7/29/2016