DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Coolidge, Christopher Gerald	DOIID	711714	NAIC NPN	2524071

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/19/2009	10/31/2015
Inactive	Non Resident	Agent	Health	8/19/2009	10/31/2015
* 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	Kanawha Insurance Company	300127	Agent - Health	5/17/2012	10/31/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/17/2012	10/31/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/8/2010	10/31/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/8/2010	10/31/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	9/8/2010	10/31/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	9/8/2010	10/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Life	9/5/2012	10/31/2015
Inactive	Willis Of Illinois Inc	398318	Agent - Health	9/5/2012	10/31/2015