DEPARTMENT OF INSURANCE

Affiliations

Name	Coffman Enterprises Inc	DOIID	700532	NAIC NPN	13224026

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	2/27/2009	3/31/2027
Active	Resident	Agent	Life	2/27/2009	3/31/2027
Active	Resident	Agent	Casualty	2/27/2009	3/31/2027
Active	Resident	Agent	Property	2/27/2009	3/31/2027
* 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	01/15/2025	03/31/2025	01/17/2025	01/17/2025	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	4/16/2009
Active	Allstate Indemnity Company	300778	Agent - Property	4/16/2009
Active	Allstate Insurance Company	300773	Agent - Casualty	4/16/2009
Active	Allstate Insurance Company	300773	Agent - Property	4/16/2009
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	4/16/2009
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Property	4/16/2009
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	2/17/2014
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	2/17/2014
Active	American Family Home Insurance Company	301817	Agent - Casualty	2/26/2024
Active	American Family Home Insurance Company	301817	Agent - Property	2/26/2024
Active	American Heritage Life Insurance Company	300272	Agent - Health	4/21/2009
Active	American Heritage Life Insurance Company	300272	Agent - Life	4/21/2009
Active	American Modern Home Insurance Company	300791	Agent - Casualty	10/9/2015
Active	American Modern Home Insurance Company	300791	Agent - Property	10/9/2015
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	5/2/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	5/2/2019
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	10/9/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	10/9/2015	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	12/17/2014
Active	Everlake Life Insurance Company	300873	Agent - Health	4/16/2009
Active	Everlake Life Insurance Company	300873	Agent - Life	4/16/2009
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	4/27/2016
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	4/27/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/9/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/9/2023
Active	Lincoln Benefit Life Company	301110	Agent - Health	4/16/2009
Active	Lincoln Benefit Life Company	301110	Agent - Life	4/16/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Barnett, Howard Randall	305329	Agent - Casualty	5/5/2014	5/1/2024
Denied	Barnett, Howard Randall	305329	Agent - Health
Denied	Barnett, Howard Randall	305329	Agent - Life
Inactive	Barnett, Howard Randall	305329	Agent - Property	5/5/2014	5/1/2024
Active	Camarata, Edward Michael	568610	Agent - Casualty	5/5/2014
Active	Camarata, Edward Michael	568610	Agent - Health	5/5/2014
Active	Camarata, Edward Michael	568610	Agent - Life	5/5/2014
Active	Camarata, Edward Michael	568610	Agent - Property	5/5/2014
Active	Coffman, John Thomas	392462	Agent - Casualty	2/27/2009
Active	Coffman, John Thomas	392462	Agent - Health	4/16/2009
Active	Coffman, John Thomas	392462	Agent - Life	4/16/2009
Active	Coffman, John Thomas	392462	Agent - Property	4/16/2009
Inactive	Crowe, Gregory Leon	606397	Agent - Casualty	5/5/2014	9/30/2020
Denied	Crowe, Gregory Leon	606397	Agent - Health
Denied	Crowe, Gregory Leon	606397	Agent - Life
Inactive	Crowe, Gregory Leon	606397	Agent - Property	5/5/2014	9/30/2020