DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rosen, Paul Eric	DOIID	979608	NAIC NPN	11848058

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/18/2017		11/30/2025
Active	Non Resident	Agent	Life	12/18/2017		11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	9/17/2021
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	2/1/2022	10/8/2023
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	2/1/2022	10/8/2023
Active	Minnesota Life Insurance Company	300488	Agent - Health	12/26/2017
Active	Minnesota Life Insurance Company	300488	Agent - Life	12/26/2017
Inactive	Principal National Life Insurance Company	301926	Agent - Health	5/23/2018	11/22/2022
Inactive	Principal National Life Insurance Company	301926	Agent - Life	5/23/2018	11/22/2022
Inactive	Pruco Life Insurance Company	300954	Agent - Life	9/13/2018	11/25/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Executive Ins Agency Inc	400244	Agent - Life	2/18/2019
Active	Executive Ins Agency Inc	400244	Agent - Health	2/18/2019