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 ResidentAgentProperty12/27/2021 5/31/2026
ActiveNon ResidentAgentCasualty12/27/2021 5/31/2026
ActiveNon ResidentAgentLife3/25/2021 5/31/2026
* 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
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 
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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