DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Coghlan, Keith Lloyd	DOIID	796056	NAIC NPN	16773060

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/26/2012	4/30/2022
Inactive	Non Resident	Agent	Life	3/19/2014	4/30/2022
* 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	Aetna Life Insurance Company	301140	Agent - Health	8/19/2016	4/30/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/19/2016	4/30/2022
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	8/19/2016	6/15/2022
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/19/2016	4/30/2022
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/2/2012	9/23/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	11/2/2012	4/22/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/2/2012	9/23/2013

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 Florida Inc	652212	Agent - Health	10/24/2016	1/10/2020
Inactive	Willis Of Florida Inc	652212	Agent - Life	10/24/2016	12/30/2019
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Health	1/31/2020	6/21/2021
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Life	1/31/2020	6/21/2021