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.

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