Individual Information

DENNIS T COFFIN

Address:

LAS VEGAS, NV 89102-1910

Status:

Active

Email:

dennis@aspengroupins.com

Date:

04/02/1998

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Res. Producer/Producer Firm	53844	10/01/2001	Active	10/01/2001	08/31/2025
Res. Surplus Lines Broker	79274	10/01/2001	Active	01/23/2008	01/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/01/2001	Active	10/01/2001
Health	10/01/2001	Active	10/01/2001
Life	10/01/2001	Active	10/01/2001
Property	10/01/2001	Active	10/01/2001
Surplus Lines	10/01/2001	Active	08/14/2014
Casualty	04/02/1998	Inactive	10/01/2001
Casualty	03/26/2001	Inactive	10/01/2001
Health	08/13/1998	Inactive	10/01/2001
Health	03/26/2001	Inactive	10/01/2001
Life	08/13/1998	Inactive	10/01/2001
Life	03/26/2001	Inactive	10/01/2001
Property	04/02/1998	Inactive	10/01/2001
Property	03/26/2001	Inactive	10/01/2001
Surety	08/13/1998	Inactive	01/01/2020
Surety	03/26/2001	Inactive	01/01/2020

Company Name	Appointment Type	Status	Active Date
1255
CONTRACTORS BONDING & INSURANCE COMPANY	Casualty	Active	01/20/2017
	Property	Active	01/20/2017
1525
Company Name	Appointment Type	Status	Active Date
NORCAL INSURANCE COMPANY	Casualty	Active	10/16/2019
115827
Company Name	Appointment Type	Status	Active Date
PROASSURANCE CASUALTY COMPANY	Casualty	Active	11/30/2011
1622
Company Name	Appointment Type	Status	Active Date
PROASSURANCE INDEMNITY COMPANY INC	Casualty	Active	12/14/2023
570
Company Name	Appointment Type	Status	Active Date
RLI INSURANCE COMPANY	Casualty	Active	01/08/2016
	Property	Active	01/08/2016

row(s) 1 - 7 of 7

Organization	Association Type	Type	Beg dte	End dte
PROFESSIONAL INSURANCE SERVICES OF NEVADA, INC.	Designated Resp Lic Prdcr	Agency	04/01/2021	-

1 - 1