DEPARTMENT OF INSURANCE

Affiliations

Name	Burns, Roxana Elizabeth	DOIID	1100344	NAIC NPN	19541131

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/10/2023	10/31/2025
Active	Non Resident	Agent	Life	9/25/2020	10/31/2025
Active	Non Resident	Agent	Property	8/10/2023	10/31/2025
Active	Non Resident	Agent	Health	12/2/2020	10/31/2025
* 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	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	8/22/2023
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	8/22/2023
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	10/8/2024
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	3/28/2024
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	3/28/2024
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	3/28/2024
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	3/28/2024
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/2/2020
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/25/2020
Active	American Heritage Life Insurance Company	300272	Agent - Health	10/2/2023
Active	American Heritage Life Insurance Company	300272	Agent - Life	10/2/2023
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	6/13/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/8/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/8/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/8/2023	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/8/2023	4/15/2025
Active	Banner Life Insurance Company	301696	Agent - Life	2/7/2024
Active	Combined Insurance Company of America	301472	Agent - Health	12/5/2023
Active	Combined Insurance Company of America	301472	Agent - Life	12/5/2023
Active	Continental American Insurance Company	301700	Agent - Health	9/19/2022
Active	Continental American Insurance Company	301700	Agent - Life	9/19/2022
Active	Golden Rule Insurance Company	301943	Agent - Health	1/19/2023
Active	Golden Rule Insurance Company	301943	Agent - Life	1/19/2023
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	3/28/2024
Active	Hanover American Insurance Company (The)	300447	Agent - Property	3/28/2024
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	3/28/2024
Active	Hanover Insurance Company (The)	300508	Agent - Property	3/28/2024
Active	Hartford Accident and Indemnity Company	301917	Agent - Casualty	6/11/2024
Active	Hartford Accident and Indemnity Company	301917	Agent - Property	6/11/2024
Active	Hartford Insurance Company of Illinois	1014405	Agent - Casualty	6/3/2024
Active	Hartford Insurance Company of Illinois	1014405	Agent - Property	6/3/2024
Active	Hartford Underwriters Insurance Company	301064	Agent - Casualty	11/22/2023
Active	Hartford Underwriters Insurance Company	301064	Agent - Property	11/22/2023
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	3/28/2024
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	3/28/2024
Active	National Guardian Life Insurance Company	300596	Agent - Health	10/26/2023
Active	National Health Insurance Company	300554	Agent - Health	10/18/2023
Active	National Health Insurance Company	300554	Agent - Life	10/18/2023
Active	Nippon Life Insurance Company of America	300446	Agent - Health	5/16/2024
Active	Nippon Life Insurance Company of America	300446	Agent - Life	5/16/2024
Active	Nutmeg Insurance Company	751698	Agent - Casualty	12/3/2024
Active	Nutmeg Insurance Company	751698	Agent - Property	12/3/2024
Active	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	5/29/2024
Active	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	5/29/2024
Active	Trumbull Insurance Company	300242	Agent - Casualty	11/20/2023
Active	Trumbull Insurance Company	300242	Agent - Property	11/20/2023
Active	Verlan Fire Insurance Company	517102	Agent - Casualty	3/28/2024
Active	Verlan Fire Insurance Company	517102	Agent - Property	3/28/2024
Active	William Penn Association	300101	Agent - Life	7/17/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Cornerstone Ins Agency LLC	949096	Agent - Life	8/29/2023
Active	Cornerstone Ins Agency LLC	949096	Agent - Health	8/29/2023
Active	Cornerstone Ins Agency LLC	949096	Agent - Casualty	8/29/2023
Active	Cornerstone Ins Agency LLC	949096	Agent - Property	8/29/2023
Active	Dental Choice Agency Inc.	398085	Agent - Health	12/30/2023