DEPARTMENT OF INSURANCE

Affiliations

Name	Cooper, Thomas A	DOIID	1096388	NAIC NPN	19630756

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	10/13/2020	9/30/2025
Active	Resident	Agent	Variable Life and Variable Annuities	9/13/2023	9/30/2025
Active	Resident	Agent	Life	10/13/2020	9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/25/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/31/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/31/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	8/31/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/13/2022
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	7/13/2022
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/13/2022
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	11/12/2020
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	10/13/2020	5/2/2024
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	10/13/2020	5/2/2024
Active	Banner Life Insurance Company	301696	Agent - Life	4/29/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022	5/10/2024
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	10/13/2020	5/2/2024
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	10/13/2020	5/2/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/13/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/25/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/25/2024
Active	Dental Concern Inc. (The)	301641	Agent - Health	12/9/2020
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/12/2020
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/12/2020
Active	Humana Health Plan, Inc.	300142	Agent - Health	3/17/2021
Active	Humana Insurance Company	301104	Agent - Health	11/12/2020
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	3/17/2021
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	3/17/2021
Active	Humana Medical Plan, Inc.	801568	Agent - Health	11/12/2020
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/12/2020
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/14/2021
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/14/2021
Active	NYLIFE Insurance Company of Arizona	301642	Agent - Life	4/26/2024
Active	New York Life Insurance Company	300431	Agent - Health	4/26/2024
Active	New York Life Insurance Company	300431	Agent - Life	4/26/2024
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Health	4/26/2024
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Life	4/26/2024
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Variable Life and Variable Annuities	5/24/2024
Active	SilverScript Insurance Company	663526	Agent - Health	8/31/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/6/2021	5/10/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/6/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/6/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/6/2021	5/10/2024
Inactive	Washington National Insurance Company	300587	Agent - Health	4/28/2022	5/2/2024
Inactive	Washington National Insurance Company	300587	Agent - Life	4/28/2022	5/2/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/22/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/8/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	NYLIFE Securities, LLC	645470	Agent - Life	6/17/2024
Active	NYLIFE Securities, LLC	645470	Agent - Health	6/17/2024
Active	NYLIFE Securities, LLC	645470	Agent - Variable Life and Variable Annuities	6/17/2024