The coefficients are only equal when the orbital energies are equal. In a molecule like HF, the electrons are attracted far more to the fluorine than the nitrogen. This is reflected in the HOMO, which has a lot more fluorine AO character than hydrogen AO character. Conversely, the LUMO, an antibonding orbital, has more hydrogen character than fluorine character. You can do some basic theoretical treatments and show that the coefficients are related to the energy differences between the two mixing AOs.
In polyatomic molecules, even when the AOs have the same energies, the coefficients are frequently not equal in magnitude, reflecting the fact that electrons naturally spend more time near certain nuclei than others. This is as much a matter of geometry as anything else.