DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cooper, Gregory	DOIID	1220239	NAIC NPN	20404153

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/1/2022		9/30/2026
Active	Non Resident	Agent	Health	8/1/2022		9/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024	08/19/2024	08/19/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/1/2022
Active	Anthem Life Insurance Company	301209	Agent - Health	8/1/2022
Active	Anthem Life Insurance Company	301209	Agent - Life	8/1/2022
Active	Golden Rule Insurance Company	301943	Agent - Health	8/9/2022
Active	Golden Rule Insurance Company	301943	Agent - Life	8/9/2022
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	8/29/2022	10/27/2023
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	9/23/2022	12/22/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Life	11/16/2022
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	11/16/2022