DEPARTMENT OF INSURANCE

Affiliations

Name	Coolman, Stacy	DOIID	351468	NAIC NPN	766373

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	General Lines	7/3/1997	8/15/2000
Inactive	Non Resident	Agent	Property	8/15/2000	9/4/2013
Inactive	Non Resident	Agent	Life	4/5/2005	9/4/2013
Inactive	Non Resident	Agent	Casualty	8/15/2000	9/4/2013
Inactive	Non Resident	Agent	Health	4/5/2005	9/4/2013
* 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	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	11/3/2010
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	11/3/2010
Inactive	Assurance Company of America	300432	Agent - Casualty	6/1/2004	9/4/2013
Inactive	Assurance Company of America	300432	Agent - Property	6/1/2004	9/4/2013
Inactive	Blackboard Insurance Company	301640	Agent - Casualty	6/1/2004	11/30/2007
Inactive	Blackboard Insurance Company	301640	Agent - Property	6/1/2004	11/30/2007
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	11/3/2010
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	11/3/2010
Inactive	Fairmont Insurance Company	301924	Agent - Casualty	8/15/2000	10/11/2002
Inactive	Fairmont Insurance Company	301924	Agent - General Lines	4/7/1998	8/15/2000
Inactive	Fairmont Insurance Company	301924	Agent - Property	8/15/2000	10/11/2002
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	11/3/2010
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	11/3/2010
Inactive	Maryland Casualty Company	301719	Agent - Casualty	6/1/2004	9/4/2013
Inactive	Maryland Casualty Company	301719	Agent - Property	6/1/2004	9/4/2013
Inactive	Medical Protective Company (The)	301207	Agent - Casualty	10/25/2002	11/18/2013
Inactive	Medical Protective Company (The)	301207	Agent - Property	10/25/2002	11/18/2013
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	11/3/2010
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	11/3/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	6/1/2004	9/4/2013
Inactive	Northern Insurance Company of New York	301317	Agent - Property	6/1/2004	9/4/2013
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	11/3/2010
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	11/3/2010
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	11/3/2010
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	11/3/2010
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008	11/3/2010
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008	11/3/2010
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	11/3/2010
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	11/3/2010
Inactive	StarStone National Insurance Company	300812	Agent - Casualty	8/15/2000	10/11/2002
Inactive	StarStone National Insurance Company	300812	Agent - General Lines	4/7/1998	8/15/2000
Inactive	StarStone National Insurance Company	300812	Agent - Property	8/15/2000	10/11/2002
Inactive	TIG Insurance Company	301750	Agent - Casualty	8/15/2000	10/11/2002
Inactive	TIG Insurance Company	301750	Agent - General Lines	7/3/1997	8/15/2000
Inactive	TIG Insurance Company	301750	Agent - Property	8/15/2000	10/11/2002
Inactive	Virginia Surety Company, Inc.	301022	Agent - Casualty	2/19/2002	11/20/2002
Inactive	Virginia Surety Company, Inc.	301022	Agent - Property	2/19/2002	11/20/2002
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	11/3/2010
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	11/3/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	K & K Insurance Group Inc	513466	Agent - Property
Denied	K & K Insurance Group Inc	513466	Agent - Casualty
Inactive	MedPro Insurance Services, LLC	581478	Agent - Property	5/21/2004	4/22/2009
Inactive	MedPro Insurance Services, LLC	581478	Agent - Casualty	5/21/2004	4/22/2009