DEPARTMENT OF INSURANCE

Name	Coppage, Andrea Ray	DOIID	1126654	NAIC NPN	19849027

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Limited Line Credit	10/14/2021		7/31/2024
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Life	5/5/2021	8/1/2022

*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	05/15/2024	07/31/2024

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	295 Campbellsville Bypass Suite 2 Campbellsville, KY 42718
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(270) 789-6818