DEPARTMENT OF INSURANCE
Affiliations
NameCoastal Marketing Services Inc.DOIID398573NAIC NPN7221012
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth8/22/19913/2/1998 
InactiveResidentAgentGeneral Lines11/7/19903/2/1998 
InactiveResidentAgentLife8/22/19913/2/1998 
InactiveResidentManaging General AgentNot Applicable1/14/199112/9/1997 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveACE American Insurance Company300625Agent - General Lines4/5/19949/10/1996
InactiveACE Fire Underwriters Insurance Company301679Agent - General Lines4/5/19949/10/1996
InactiveACE Property and Casualty Insurance Company300520Agent - General Lines4/5/19949/10/1996
InactiveAmerican Family Home Insurance Company301817Agent - General Lines7/3/19963/2/1998
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - General Lines3/6/19963/2/1998
InactiveBankers Standard Insurance Company301620Agent - General Lines11/9/19949/10/1996
InactiveCentury Indemnity Company301310Agent - General Lines4/5/19949/10/1996
InactiveCharter Oak Fire Insurance Company (The)301501Agent - General Lines4/9/19973/2/1998
InactiveIndemnity Insurance Company of North America301760Agent - General Lines4/5/19949/10/1996
InactiveInsurance Company of North America300226Agent - General Lines4/5/19949/10/1996
InactiveMutual Service Life Insurance Company300225Agent - Health8/22/19913/2/1998
InactiveMutual Service Life Insurance Company300225Agent - Life8/22/19913/2/1998
InactiveNational Insurance Association301386Agent - General Lines11/7/19903/2/1998
InactivePacific Employers Insurance Company301753Agent - General Lines4/5/19949/10/1996
InactiveRedland Insurance Company300687Agent - General Lines1/28/19913/2/1998
InactiveStandard Fire Insurance Company (The)301068Agent - General Lines3/6/19963/2/1998
InactiveThe Phoenix Insurance Company301502Agent - General Lines4/9/19973/2/1998
InactiveTravCo Insurance Company301828Agent - General Lines4/9/19973/2/1998
InactiveTravelers Casualty and Surety Company301067Agent - General Lines3/6/19963/2/1998
InactiveTravelers Indemnity Company (The)301855Agent - General Lines4/9/19973/2/1998
InactiveTravelers Property Casualty Insurance Company301508Agent - General Lines3/6/19963/2/1998
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFylstra, Iva Jean 303705Managing General Agent - Not Applicable3/31/199412/9/1997
InactiveFylstra, Ronald John 333623Agent - General Lines3/31/199512/9/1997
InactiveFylstra, Ronald John 333623Managing General Agent - Not Applicable1/14/199112/9/1997
InactivePerkins, Crystal Raenee 321616Agent - General Lines2/17/19983/2/1998
InactivePolston, Billy Dale 330819Agent - Health8/22/199111/14/1996
InactivePolston, Billy Dale 330819Agent - Life11/14/19963/2/1998
InactivePolston, Billy Dale 330819Managing General Agent - Not Applicable3/31/19923/2/1998
InactiveVandyke, Judith B 321145Managing General Agent - Not Applicable3/31/19941/2/1998

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