black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ROSA ESMERALDA VELASQUEZ

PRODUCER NON-RESIDENT

License Number:
PRN177376
Status:
First Licensure:
05/06/2010
Cancel Date:
None

Mailing:
NASHVILLE, TN 37211
Phone:
+1 (800) 489-3786
Email:
rvelasquez@benefitcommunications.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/06/2010

Agency

Name Issue Date License Number Expiration Date Cancel Date
FORUM BENEFITS, LLC
07/28/2021 AGN372206 08/05/2021

Employer

Name Issue Date License Number Expiration Date Cancel Date
BOSTON MUTUAL LIFE INSURANCE COMPANY
09/14/2017 LHF135 05/22/2023
CONTINENTAL AMERICAN INSURANCE COMPANY
10/07/2013 LHF80843 06/18/2024
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY
09/24/2019 LHF193 11/30/2022
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
08/24/2010 LHF250
RELIASTAR LIFE INSURANCE COMPANY
09/20/2010 LHF22 03/01/2021
RELIASTAR LIFE INSURANCE COMPANY
04/06/2021 LHF22
STARMOUNT LIFE INSURANCE COMPANY
02/11/2019 LHD131525
TRUSTMARK INSURANCE COMPANY
09/23/2013 LHF132 01/14/2025
UNUM INSURANCE COMPANY
02/11/2019 LHD241
UNUM LIFE INSURANCE COMPANY OF AMERICA
08/24/2010 LHD145

Authority

Description Issue Date Termination Date Status
HEALTH 05/06/2010 Active
LIFE 05/06/2010 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
15695868

Other Addresses

Address Type
NASHVILLE, TN 37211
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: 03/04/2026 11:01:12 AM