DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	J.T. Coffman, LLC	DOIID	522247	NAIC NPN	5307948

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	2/26/2001	5/29/2009
Inactive	Resident	Agent	Property	2/26/2001	5/29/2009
Inactive	Resident	Agent	Health	2/26/2001	5/29/2009
Inactive	Resident	Agent	Life	2/26/2001	5/29/2009
* 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	Allstate Indemnity Company	300778	Agent - Casualty	2/26/2001	5/29/2009
Inactive	Allstate Indemnity Company	300778	Agent - Property	2/26/2001	5/29/2009
Inactive	Allstate Insurance Company	300773	Agent - Casualty	2/26/2001	5/29/2009
Inactive	Allstate Insurance Company	300773	Agent - Property	2/26/2001	5/29/2009
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005	5/29/2009
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005	5/29/2009
Inactive	Everlake Life Insurance Company	300873	Agent - Health	2/26/2001	5/29/2009
Inactive	Everlake Life Insurance Company	300873	Agent - Life	2/26/2001	5/29/2009
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	10/29/2008	5/29/2009
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	10/29/2008	5/29/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Camarata, Edward Michael	568610	Agent - Casualty	3/18/2004	5/29/2009
Inactive	Camarata, Edward Michael	568610	Agent - Health	1/31/2005	5/29/2009
Inactive	Camarata, Edward Michael	568610	Agent - Life	1/31/2005	5/29/2009
Inactive	Camarata, Edward Michael	568610	Agent - Property	3/18/2004	5/29/2009
Inactive	Coffman, John Thomas	379737	Agent - Casualty	8/15/2000	5/29/2009
Inactive	Coffman, John Thomas	379737	Agent - Health	2/26/2001	5/29/2009
Inactive	Coffman, John Thomas	379737	Agent - Life	2/26/2001	5/29/2009
Inactive	Coffman, John Thomas	379737	Agent - Property	8/15/2000	5/29/2009
Inactive	Coffman, Matthew S	591982	Agent - Casualty	5/1/2006	5/29/2009
Inactive	Coffman, Matthew S	591982	Agent - Health	5/1/2006	5/29/2009
Inactive	Coffman, Matthew S	591982	Agent - Life	5/1/2006	5/29/2009
Inactive	Coffman, Matthew S	591982	Agent - Property	5/1/2006	5/29/2009
Inactive	Mccormick, Heather Renee	501992	Agent - Casualty	2/18/2003	2/19/2004
Inactive	Mccormick, Heather Renee	501992	Agent - Property	2/18/2003	2/19/2004