black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ROSANE ROBERT

PRODUCER NON-RESIDENT

License Number:
PRN288145
Status:
First Licensure:
06/11/2017
Cancel Date:
None

Mailing:
ORO VALLEY, AZ 85737
Phone:
+1 (615) 336-0333
Fax:
+1 (615) 797-1127
Email:
rosane.robert@yahoo.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/11/2017

Agency

Name Issue Date License Number Expiration Date Cancel Date
WILLIS OF ILLINOIS INC
10/24/2017 AGN51320 01/01/2020
WILLIS TOWERS WATSON MIDWEST INC
01/01/2020 AGN36667

Employer

Name Issue Date License Number Expiration Date Cancel Date
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
07/06/2017 LHF250
STARMOUNT LIFE INSURANCE COMPANY
01/07/2022 LHD131525
UNUM INSURANCE COMPANY
08/25/2017 LHD241
UNUM LIFE INSURANCE COMPANY OF AMERICA
07/06/2017 LHD145

Authority

Description Issue Date Termination Date Status
HEALTH 06/11/2017 Active
LIFE 06/11/2017 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8974501

Other Addresses

Address Type
11561 N PALMETTO DUNES AVE
ORO VALLEY, AZ 85737-7206
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/17/2025 10:52:43 AM