black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

EDITA ROSARIO

PRODUCER NON-RESIDENT

License Number:
PRN363213
Status:
First Licensure:
10/01/2020
Cancel Date:
None

Mailing:
LAWRENCEVILLE, GA 30046
Phone:
+1 (770) 884-2638
Fax:
+1 (470) 484-6555
Email:
edita@abundantlifeis.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/01/2020

Agency

Name Issue Date License Number Expiration Date Cancel Date
OPTAVISE LLC
11/11/2022 AGN167845

Employer

Name Issue Date License Number Expiration Date Cancel Date
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
10/17/2025 LHF250
RELIASTAR LIFE INSURANCE COMPANY
02/12/2021 LHF22
STARMOUNT LIFE INSURANCE COMPANY
10/17/2025 LHD131525
UNUM INSURANCE COMPANY
10/17/2025 LHD241
UNUM LIFE INSURANCE COMPANY OF AMERICA
10/17/2025 LHD145
WASHINGTON NATIONAL INSURANCE COMPANY
10/09/2023 LHF294

Authority

Description Issue Date Termination Date Status
HEALTH 10/01/2020 Active
LIFE 10/01/2020 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18382139

Other Addresses

Address Type
965 OAKLAND RD STE 3A
LAWRENCEVILLE, GA 30044-3758
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: 11/21/2025 03:07:57 AM