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DEPARTMENT OF INSURANCE
Affiliations
Name
Coffey, Brian M
DOIID
524837
NAIC NPN
3956128
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Health
12/6/2023
5/31/2025
Active
Non Resident
Agent
Life
12/6/2023
5/31/2025
Active
Non Resident
Agent
Variable Life and Variable Annuities
12/6/2023
5/31/2025
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Notice:
The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
03/15/2025
05/31/2025
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
American General Life Insurance Company
301585
Agent - Health
8/2/2005
10/25/2012
Inactive
American General Life Insurance Company
301585
Agent - Life
8/2/2005
10/25/2012
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
8/2/2005
10/25/2012
Inactive
C.M. Life Insurance Company
301335
Agent - Health
12/4/2007
10/24/2008
Inactive
C.M. Life Insurance Company
301335
Agent - Life
12/4/2007
10/24/2008
Inactive
First Colony Life Insurance Company
301179
Agent - Life
12/20/2005
1/1/2007
Inactive
Genworth Life Insurance Company
300623
Agent - Health
8/23/2005
10/4/2009
Inactive
Genworth Life Insurance Company
300623
Agent - Life
8/23/2005
10/4/2009
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
4/14/2009
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
1/1/2007
12/7/2012
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
11/4/2005
1/18/2008
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
11/4/2005
1/18/2008
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
11/4/2005
4/11/2012
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
11/4/2005
4/11/2012
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
11/4/2005
12/11/2006
Inactive
Lincoln Benefit Life Company
301110
Agent - Health
8/5/2005
12/17/2010
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
8/5/2005
12/17/2010
Inactive
Lincoln Benefit Life Company
301110
Agent - Variable Life and Variable Annuities
8/5/2005
12/17/2010
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
4/23/2007
11/5/2008
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
4/23/2007
11/5/2008
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
4/23/2007
11/5/2008
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
12/4/2007
10/24/2008
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
12/4/2007
10/24/2008
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
6/13/2006
10/19/2010
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
6/13/2006
10/19/2010
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
10/19/2006
10/8/2008
Inactive
NYLIFE Insurance Company of Arizona
301642
Agent - Health
6/17/2009
7/27/2016
Inactive
NYLIFE Insurance Company of Arizona
301642
Agent - Life
6/17/2009
7/27/2016
Inactive
New York Life Insurance Company
300431
Agent - Health
6/17/2009
7/27/2016
Inactive
New York Life Insurance Company
300431
Agent - Life
6/17/2009
7/27/2016
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Health
6/17/2009
7/27/2016
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
6/17/2009
7/27/2016
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
6/17/2009
7/27/2016
Inactive
Penn Insurance and Annuity Company
300712
Agent - Health
7/9/2006
6/17/2011
Inactive
Penn Insurance and Annuity Company
300712
Agent - Life
7/9/2006
6/17/2011
Inactive
Penn Insurance and Annuity Company
300712
Agent - Variable Life and Variable Annuities
7/9/2006
6/17/2011
Inactive
Penn Mutual Life Insurance Company
301394
Agent - Health
7/9/2006
6/17/2011
Inactive
Penn Mutual Life Insurance Company
301394
Agent - Life
7/9/2006
6/17/2011
Inactive
Penn Mutual Life Insurance Company
301394
Agent - Variable Life and Variable Annuities
7/9/2006
6/17/2011
Inactive
Principal Life Insurance Company
300129
Agent - Health
8/23/2005
11/25/2009
Inactive
Principal Life Insurance Company
300129
Agent - Life
8/23/2005
11/25/2009
Inactive
Principal Life Insurance Company
300129
Agent - Variable Life and Variable Annuities
8/23/2005
11/25/2009
Inactive
Protective Life Insurance Company
300638
Agent - Health
10/24/2005
11/23/2009
Inactive
Protective Life Insurance Company
300638
Agent - Life
10/24/2005
11/23/2009
Inactive
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
10/24/2005
11/23/2009
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
1/14/2002
7/31/2003
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
1/14/2002
7/31/2003
Inactive
Pruco Life Insurance Company
300954
Agent - Health
9/29/2005
10/13/2008
Active
Pruco Life Insurance Company
300954
Agent - Life
3/11/2024
Active
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
3/11/2024
Active
Prudential Insurance Company of America
300784
Agent - Health
3/11/2024
Active
Prudential Insurance Company of America
300784
Agent - Life
3/11/2024
Active
Prudential Insurance Company of America
300784
Agent - Variable Life and Variable Annuities
3/11/2024
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
9/29/2006
10/6/2012
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
9/29/2006
10/6/2012
Inactive
ReliaStar Life Insurance Company
301712
Agent - Variable Life and Variable Annuities
9/29/2006
10/6/2012
Inactive
RiverSource Life Insurance Company
301952
Agent - Health
4/9/2001
5/9/2003
Inactive
RiverSource Life Insurance Company
301952
Agent - Life
4/9/2001
5/9/2003
Inactive
RiverSource Life Insurance Company
301952
Agent - Variable Life and Variable Annuities
4/9/2001
5/9/2003
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
10/11/2006
9/29/2012
Inactive
Security Life of Denver Insurance Company
300648
Agent - Variable Life and Variable Annuities
10/11/2006
9/29/2012
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
11/28/2006
12/8/2009
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
11/28/2006
12/8/2009
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
11/28/2006
12/8/2009
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
1/14/2002
7/31/2003
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
1/14/2002
7/31/2003
Inactive
West Coast Life Insurance Company
301607
Agent - Health
8/9/2005
12/15/2008
Inactive
West Coast Life Insurance Company
301607
Agent - Life
8/9/2005
12/15/2008
Inactive
300277
Agent - Life
9/27/2005
12/18/2006
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Health
2/28/2007
10/23/2008
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Life
2/28/2007
10/23/2008
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Variable Life and Variable Annuities
2/28/2007
10/23/2008
Active
LPL Enterprise, LLC
1333130
Agent - Health
11/25/2024
Active
LPL Enterprise, LLC
1333130
Agent - Life
11/25/2024
Active
LPL Enterprise, LLC
1333130
Agent - Variable Life and Variable Annuities
11/25/2024
Active
Prudential Insurance Agency LLC
620187
Agent - Health
3/13/2024
Active
Prudential Insurance Agency LLC
620187
Agent - Life
3/13/2024
Active
Prudential Insurance Agency LLC
620187
Agent - Variable Life and Variable Annuities
3/13/2024
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