DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Coffman, Janice Lee	DOIID	357248	NAIC NPN	7194626

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health Maintenance Organization	1/6/1998	6/29/2000
Inactive	Resident	Agent	Life	1/5/2010	9/1/2012
Inactive	Resident	Agent	Health	1/5/2010	9/1/2012
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/25/1998	3/7/2001
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/13/2002	7/1/2004
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/13/2002	7/1/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/26/2002	7/1/2004
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health Maintenance Organization	1/6/1998	6/29/2000
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/2/2010	2/23/2012
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/2/2010	2/23/2012
Inactive	Jefferson National Life Insurance Company	300258	Agent - Health	4/12/1994	4/29/1996
Inactive	Jefferson National Life Insurance Company	300258	Agent - Life	4/12/1994	4/29/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Benefit Ins Marketing Inc	398449	Agent - Health	5/9/2001	1/16/2002
Inactive	Gold Chip Insurance Marketing LLC	502132	Agent - Health	5/10/2000	1/16/2002