PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameCooper, Shane ADOIID1126321NAIC NPN1305311
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth12/27/2021 5/31/2026
ActiveNon ResidentAgentLife3/25/2021 5/31/2026
ActiveNon ResidentAgentCasualty12/27/2021 5/31/2026
ActiveNon ResidentAgentProperty12/27/2021 5/31/2026
ActiveNon ResidentSurplus Lines BrokerNot Applicable9/24/2025 5/31/2028
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent03/15/202605/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAAA Life Insurance Company300287Agent - Health2/2/20222/16/2023
InactiveAAA Life Insurance Company300287Agent - Life2/2/20222/16/2023
InactiveAssurity Life Insurance Company301099Agent - Health12/29/20211/30/2023
InactiveAssurity Life Insurance Company301099Agent - Life12/29/20211/30/2023
InactiveCMFG Life Insurance Company300929Agent - Life5/27/20217/19/2022
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty12/11/2024 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property12/11/2024 
ActiveMarkel American Insurance Company300377Agent - Casualty7/7/2025 
ActiveMarkel American Insurance Company300377Agent - Property7/7/2025 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveEthos Technologies Inc.934675Agent - Life1/3/202211/8/2022
DeniedEthos Technologies Inc.934675Agent - Casualty  
InactiveEthos Technologies Inc.934675Agent - Health12/29/202111/8/2022
DeniedEthos Technologies Inc.934675Agent - Property  

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