DEPARTMENT OF INSURANCE

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.

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