DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Coy, Jason Alexander	DOIID	624100	NAIC NPN	8692524

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/6/2006	2/1/2009
* 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	Protective Life Insurance Company	300638	Agent - Life	3/10/2006	2/1/2009
Inactive	Western National Life Insurance Company	300461	Agent - Life	3/7/2006	2/3/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Integra Bank National Association	558914	Agent - Life	11/7/2006	2/1/2009