DEPARTMENT OF INSURANCE

Affiliations

Name	Coffman, John Thomas	DOIID	379737	NAIC NPN	1647079

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	5/23/1984	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	9/30/2010
Inactive	Resident	Agent	Life	4/30/1984	9/30/2010
Inactive	Resident	Agent	Property	8/15/2000	9/30/2010
Inactive	Resident	Agent	Health	4/30/1984	9/30/2010
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	4/6/2006	10/17/2008
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/6/2006	10/17/2008
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	8/15/2000	9/30/2010
Inactive	Allstate Indemnity Company	300778	Agent - General Lines	5/23/1984	8/15/2000
Inactive	Allstate Indemnity Company	300778	Agent - Property	8/15/2000	9/30/2010
Inactive	Allstate Insurance Company	300773	Agent - Casualty	8/15/2000	9/30/2010
Inactive	Allstate Insurance Company	300773	Agent - General Lines	5/23/1984	8/15/2000
Inactive	Allstate Insurance Company	300773	Agent - Property	8/15/2000	9/30/2010
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005	9/30/2010
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005	9/30/2010
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	6/29/2000	5/21/2009
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	6/29/2000	5/21/2009
Inactive	Everlake Life Insurance Company	300873	Agent - Health	4/30/1984	9/30/2010
Inactive	Everlake Life Insurance Company	300873	Agent - Life	4/30/1984	9/30/2010
Inactive	Genworth Life Insurance Company	300623	Agent - Health	4/18/2006	9/30/2010
Inactive	Genworth Life Insurance Company	300623	Agent - Life	4/18/2006	9/30/2010
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	4/5/2006	6/7/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	4/5/2006	6/7/2008
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	4/5/2006	11/9/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	4/5/2006	11/9/2009
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	4/5/2006	12/11/2006
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	6/26/1998	9/30/2010
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	3/13/1997	9/30/2010
Inactive	MedAmerica Insurance Company	301568	Agent - Health	3/31/2006	12/7/2009
Inactive	Pacific Specialty Insurance Company	301846	Agent - Casualty	8/15/2000	9/30/2010
Inactive	Pacific Specialty Insurance Company	301846	Agent - General Lines	4/19/1999	8/15/2000
Inactive	Pacific Specialty Insurance Company	301846	Agent - Property	8/15/2000	9/30/2010
Inactive	Prudential Insurance Company of America	300784	Agent - Health	4/10/2006	9/30/2010
Inactive	Prudential Insurance Company of America	300784	Agent - Life	4/10/2006	9/30/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	J.T. Coffman, LLC	522247	Agent - Life	2/26/2001	5/29/2009
Inactive	J.T. Coffman, LLC	522247	Agent - Health	2/26/2001	5/29/2009
Inactive	J.T. Coffman, LLC	522247	Agent - Property	8/15/2000	5/29/2009
Inactive	J.T. Coffman, LLC	522247	Agent - Casualty	8/15/2000	5/29/2009