DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Coleman, Jacob Stephen	DOIID	1164249	NAIC NPN	20092034

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	10/22/2021	3/1/2024
Inactive	Resident	Agent	Casualty	10/25/2021	3/1/2024
Inactive	Resident	Agent	Health	10/20/2021	3/1/2024
Inactive	Resident	Agent	Life	10/19/2021	3/1/2024
* 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
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/4/2022	5/5/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	1/4/2022	5/5/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/4/2022	5/5/2022
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/22/2022	8/10/2022
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/22/2022	8/10/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/4/2022	5/5/2022
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	2/23/2022	8/11/2022
Inactive	Dairyland Insurance Company	301370	Agent - Property	2/23/2022	8/11/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/22/2022	8/10/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/22/2022	8/10/2022
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	1/4/2022	5/4/2022
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	1/4/2022	5/4/2022
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	1/4/2022	5/4/2022
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	1/4/2022	5/4/2022
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	1/4/2022	5/4/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	1/4/2022	5/4/2022
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	1/4/2022	5/4/2022
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	1/4/2022	5/4/2022
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	1/4/2022	5/4/2022