DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Coates, Susan R	DOIID	928732	NAIC NPN	5412928

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	9/12/2016		12/31/2024
Active	Non Resident	Agent	Casualty	9/12/2016		12/31/2024
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	9/12/2016	8/20/2020
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Argonaut Great Central Insurance Company	300850	Agent - Casualty	8/22/2017
Active	Argonaut Great Central Insurance Company	300850	Agent - Property	8/22/2017
Active	Argonaut Insurance Company	301422	Agent - Casualty	9/27/2016
Active	Argonaut Insurance Company	301422	Agent - Property	9/27/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alteris Ins Services Inc	763010	Agent - Property	9/27/2017	4/15/2020
Inactive	Alteris Ins Services Inc	763010	Agent - Casualty	9/27/2017	4/15/2020
Inactive	Alteris Ins Services Inc	763010	Surplus Lines Broker - Not Applicable	9/27/2017	6/26/2020
Inactive	Trident Ins Services L L C	610045	Agent - Property	3/9/2017	4/22/2020
Inactive	Trident Ins Services L L C	610045	Agent - Casualty	3/9/2017	4/22/2020
Inactive	Trident Ins Services L L C	610045	Surplus Lines Broker - Not Applicable	3/9/2017	6/26/2020