DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Coon, Evelyn R	DOIID	380534	NAIC NPN	7204787

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	4/7/1995	2/23/1997
Inactive	Resident	Agent	Life	4/7/1995	2/23/1997
* 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	HM Life Insurance Company	301408	Agent - Health	4/7/1995	2/23/1997
Inactive	HM Life Insurance Company	301408	Agent - Life	4/7/1995	2/23/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Hospital Service Company of Kentucky, LLC	401254	Agent - Life	5/8/1995	8/8/1996
Inactive	Kentucky Hospital Service Company of Kentucky, LLC	401254	Agent - Health	5/8/1995	8/8/1996