DEPARTMENT OF INSURANCE
Affiliations
NameCoffelt, Gary DDOIID344657NAIC NPN229877
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentVariable Life and Variable Annuities9/6/20015/15/2004 
InactiveResidentAgentLife3/20/20013/12/2004 
InactiveResidentAgentHealth9/13/19963/12/2004 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Fidelity Assurance Company301004Agent - Health3/20/200110/31/2003
InactiveAmerican Fidelity Assurance Company301004Agent - Life3/20/200110/31/2003
InactiveAmerican Fidelity Assurance Company301004Agent - Variable Life and Variable Annuities3/20/200110/31/2003
InactiveMadison National Life Insurance Company Inc.301458Agent - Health4/9/20013/12/2004
InactiveMadison National Life Insurance Company Inc.301458Agent - Life4/9/20013/12/2004
InactiveNorthern Life Insurance Company300301Agent - Life5/18/200110/2/2002
InactiveNorthern Life Insurance Company300301Agent - Variable Life and Variable Annuities5/18/200110/2/2002
InactiveReliaStar Life Insurance Company301712Agent - Life10/2/20024/10/2003
DeniedReliaStar Life Insurance Company301712Agent - Variable Life and Variable Annuities  
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Fidelity General Agency Inc.399316Agent - Life9/13/19962/24/2003
InactiveAmerican Fidelity General Agency Inc.399316Agent - Health9/13/19962/24/2003

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