DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Coleman, Mary Anita	DOIID	706086	NAIC NPN	13978107

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	8/4/2009	9/1/2015
Inactive	Resident	Agent	Health	8/4/2009	9/1/2015
* 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	Anthem Life Insurance Company	301209	Agent - Health	6/16/2011	9/1/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/16/2011	9/1/2015
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	7/29/2011	11/12/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	7/29/2011	11/12/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	9/23/2010	10/22/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	9/23/2010	10/22/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	6/3/2010	9/1/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	6/3/2010	9/1/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/9/2011	9/1/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/9/2011	9/1/2015