DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Coffman, John Russell	DOIID	572180	NAIC NPN	753756

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/30/2003	5/31/2006
Inactive	Non Resident	Agent	Health	6/30/2003	5/31/2006
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Gallagher Benefit Services Inc	525782	Agent - Health
Denied	Gallagher Benefit Services Inc	525782	Agent - Life
Denied	Hibernia Insurance Agency, LLC	540076	Agent - Health
Denied	Hibernia Insurance Agency, LLC	540076	Agent - Life