DEPARTMENT OF INSURANCE

Affiliations

Name	Camarata, Edward Michael	DOIID	568610	NAIC NPN	7672211

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	9/29/2003	5/31/2027
Active	Resident	Agent	Health	7/27/2004	5/31/2027
Active	Resident	Agent	Property	9/29/2003	5/31/2027
Active	Resident	Agent	Life	7/14/2003	5/31/2027
* 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	03/15/2025	05/31/2025	03/17/2025	03/17/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allstate Indemnity Company	300778	Agent - Casualty	3/18/2004
Active	Allstate Indemnity Company	300778	Agent - Property	3/18/2004
Active	Allstate Insurance Company	300773	Agent - Casualty	3/18/2004
Active	Allstate Insurance Company	300773	Agent - Property	3/18/2004
Active	Allstate North America Insurance Company	1121481	Agent - Casualty	1/30/2025
Active	Allstate North America Insurance Company	1121481	Agent - Property	1/30/2025
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	2/19/2014
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	2/19/2014
Active	American Family Home Insurance Company	301817	Agent - Casualty	4/29/2024
Active	American Family Home Insurance Company	301817	Agent - Property	4/29/2024
Active	American Heritage Life Insurance Company	300272	Agent - Health	10/27/2004
Active	American Heritage Life Insurance Company	300272	Agent - Life	10/27/2004
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	10/11/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	10/11/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	10/11/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	10/11/2016	11/14/2021
Inactive	Esurance Property and Casualty Insurance Company	613279	Agent - Casualty	7/16/2021	3/8/2023
Inactive	Esurance Property and Casualty Insurance Company	613279	Agent - Property	7/16/2021	3/8/2023
Active	Everlake Assurance Company	300203	Agent - Life	12/17/2015
Active	Everlake Life Insurance Company	300873	Agent - Health	9/8/2004
Active	Everlake Life Insurance Company	300873	Agent - Life	9/8/2004
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/8/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/8/2023
Active	Integon General Insurance Corporation	301186	Agent - Casualty	4/27/2022
Active	Integon General Insurance Corporation	301186	Agent - Property	4/27/2022
Active	Lincoln Benefit Life Company	301110	Agent - Life	10/19/2004
Active	National General Insurance Company	300152	Agent - Casualty	4/27/2022
Active	National General Insurance Company	300152	Agent - Property	4/27/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Coffman Enterprises Inc	700532	Agent - Life	5/5/2014
Active	Coffman Enterprises Inc	700532	Agent - Casualty	5/5/2014
Active	Coffman Enterprises Inc	700532	Agent - Property	5/5/2014
Active	Coffman Enterprises Inc	700532	Agent - Health	5/5/2014
Inactive	Coffman Insurance Agency, LLC	522245	Agent - Life	1/13/2005	2/21/2024
Inactive	Coffman Insurance Agency, LLC	522245	Agent - Casualty	1/13/2005	2/21/2024
Inactive	Coffman Insurance Agency, LLC	522245	Agent - Property	1/13/2005	2/21/2024
Inactive	Coffman Insurance Agency, LLC	522245	Agent - Health	1/13/2005	2/21/2024
Inactive	J.T. Coffman, LLC	522247	Agent - Life	1/31/2005	5/29/2009
Inactive	J.T. Coffman, LLC	522247	Agent - Casualty	3/18/2004	5/29/2009
Inactive	J.T. Coffman, LLC	522247	Agent - Property	3/18/2004	5/29/2009
Inactive	J.T. Coffman, LLC	522247	Agent - Health	1/31/2005	5/29/2009