DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Coleman, Gregory Dean	DOIID	564685	NAIC NPN	7611810

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	3/24/2022		3/31/2025
Active	Resident	Agent	Life	3/24/2022		3/31/2025
Active	Resident	Agent	Casualty	3/24/2022		3/31/2025
Active	Resident	Agent	Health	3/24/2022		3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurity Life Insurance Company	301099	Agent - Health	9/18/2003	5/6/2005
Inactive	Assurity Life Insurance Company	301099	Agent - Life	9/18/2003	5/6/2005
Active	Woodmen of the World Life Insurance Society	301446	Agent - Health	8/30/2023
Active	Woodmen of the World Life Insurance Society	301446	Agent - Life	8/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Health	12/28/2004	5/6/2005
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Life	12/28/2004	5/6/2005