DEPARTMENT OF INSURANCE

Affiliations

Name	Cooper, David Warren	DOIID	308002	NAIC NPN	1577388

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Variable Life and Variable Annuities	5/31/2001		5/31/2026
Active	Resident	Agent	Property	8/15/2000		5/31/2026
Active	Resident	Agent	Life	4/1/1986		5/31/2026
Active	Resident	Agent	Health	4/1/1986		5/31/2026
Active	Resident	Agent	Casualty	8/15/2000		5/31/2026
Inactive	Resident	Agent	General Lines	3/17/1993	8/15/2000
Inactive	Resident	Agent	Health Maintenance Organization	9/16/1987	3/1/2001
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	6/28/2022
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	6/28/2022
Inactive	Aetna Health Inc.	300694	Agent - Health	3/1/2001	12/31/2007
Inactive	Aetna Health Inc.	300694	Agent - Health Maintenance Organization	4/7/1998	3/1/2001
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	9/22/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/14/1998	9/22/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	2/14/1998	9/22/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	9/22/2003	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	9/22/2003	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	9/22/2003	2/22/2016
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	3/28/1990	12/16/1996
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	3/28/1990	12/16/1996
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	12/27/2001
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	6/30/1994	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	12/27/2001
Active	American Economy Insurance Company	300315	Agent - Casualty	4/18/2024
Inactive	American Economy Insurance Company	300315	Agent - General Lines	11/1/1998	8/15/2000
Active	American Economy Insurance Company	300315	Agent - Property	4/18/2024
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/6/2011	4/9/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/6/2011	4/9/2018
Active	American General Life Insurance Company	301585	Agent - Health	4/26/2024
Active	American General Life Insurance Company	301585	Agent - Life	4/26/2024
Active	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	4/26/2024
Inactive	American National Insurance Company	301861	Agent - Health	2/28/2003	5/26/2021
Inactive	American National Insurance Company	301861	Agent - Life	2/28/2003	3/16/2024
Inactive	American National Insurance Company	301861	Agent - Variable Life and Variable Annuities	2/28/2003	5/26/2021
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	12/18/2003
Inactive	American States Insurance Company	301230	Agent - General Lines	11/1/1998	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	12/18/2003
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	4/1/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	9/16/1987	3/1/2001
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	8/13/1999
Active	Anthem Life Insurance Company	301209	Agent - Life	8/13/1999
Inactive	Association Casualty Insurance Company	650779	Agent - Casualty	9/5/2013	2/10/2016
Inactive	Association Casualty Insurance Company	650779	Agent - Property	9/5/2013	2/10/2016
Inactive	Assurance Company of America	300432	Agent - General Lines	6/23/1994	3/31/1996
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	10/25/2010	5/23/2023
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	10/25/2010	5/23/2023
Inactive	Banner Life Insurance Company	301696	Agent - Life	7/13/1998	5/27/2024
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/27/2001	10/12/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/27/2001	10/12/2020
Active	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	4/5/2019
Inactive	C.M. Life Insurance Company	301335	Agent - Health	5/16/1986	8/17/2010
Inactive	C.M. Life Insurance Company	301335	Agent - Life	5/16/1986	8/17/2010
Inactive	C.M. Life Insurance Company	301335	Agent - Variable Life and Variable Annuities	6/27/2001	8/17/2010
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Health	2/10/2018
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	2/10/2018
Active	ClearPath Insurance Company	979815	Agent - Casualty	2/29/2024
Inactive	Columbia Mutual Insurance Company	301295	Agent - Casualty	9/5/2013	2/10/2016
Inactive	Columbia Mutual Insurance Company	301295	Agent - Property	9/5/2013	2/10/2016
Inactive	Commercial Insurance Company of Newark, New Jersey	300328	Agent - General Lines	2/4/1997	3/31/1998
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/10/2005	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/10/2003	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	11/10/2003	7/2/2013
Inactive	CompDent Corporation	301387	Agent - Health	3/17/2003	12/23/2004
Inactive	Companion Life Insurance Company	300191	Agent - Health	1/7/1992	9/18/1998
Inactive	Companion Life Insurance Company	300191	Agent - Life	1/7/1992	9/18/1998
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	10/20/2011
Inactive	Continental Casualty Company	301019	Agent - General Lines	6/30/1994	12/30/1999
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	6/1/2006	12/29/2009
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	6/1/2006	12/29/2009
Active	Dental Care Plus Inc.	301495	Agent - Health	4/15/2007
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2002	12/19/2019
Active	EMC Property & Casualty Company	955217	Agent - Casualty	5/12/2021
Active	EMC Property & Casualty Company	955217	Agent - Property	5/12/2021
Active	EMCASCO Insurance Company	842790	Agent - Casualty	2/12/2015
Active	EMCASCO Insurance Company	842790	Agent - Property	2/12/2015
Active	Employers Mutual Casualty Company	300202	Agent - Casualty	8/27/2010
Active	Employers Mutual Casualty Company	300202	Agent - Property	8/27/2010
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	11/14/2007	1/9/2009
Inactive	Encompass Indemnity Company	546376	Agent - Property	11/14/2007	1/9/2009
Inactive	Encova Life Insurance Company	301818	Agent - Life	11/19/2001	9/21/2011
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	5/26/2005	4/11/2008
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	5/26/2005	12/27/2018
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	5/26/2005	4/11/2008
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Variable Life and Variable Annuities	5/26/2005	12/18/2018
Inactive	FCCI Insurance Company	557454	Agent - Casualty	6/3/2004	12/22/2005
Inactive	FCCI Insurance Company	557454	Agent - Property	6/3/2004	12/22/2005
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	5/30/2013
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	5/30/2013
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Casualty	8/15/2000	12/27/2001
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - General Lines	2/3/1997	8/15/2000
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Property	8/15/2000	12/27/2001
Inactive	Firemen's Insurance Company of Newark, New Jersey	300247	Agent - General Lines	2/4/1997	3/31/1998
Inactive	First Colony Life Insurance Company	301179	Agent - Life	11/9/1989	1/1/2007
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/15/2000	10/15/2021
Inactive	First National Insurance Company of America	301690	Agent - General Lines	3/14/1994	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	8/15/2000	10/15/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/8/2006	11/1/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/8/2006	11/1/2012
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/15/2000	10/15/2021
Inactive	General Insurance Company of America	300261	Agent - General Lines	3/14/1994	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	8/15/2000	10/15/2021
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	5/22/2009	12/14/2016
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/14/2016
Inactive	Glens Falls Insurance Company (The)	301922	Agent - General Lines	2/4/1997	3/31/1998
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	7/25/2007	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	2/20/1987	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	2/20/1987	10/5/2021
Inactive	HM Life Insurance Company	301408	Agent - Health	7/7/1986	9/11/2007
Inactive	HM Life Insurance Company	301408	Agent - Life	7/7/1986	9/11/2007
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	8/27/2010	12/15/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	8/27/2010	12/15/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/15/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/27/2020	12/15/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	4/7/1988	3/1/2001
Active	Humana Insurance Company	301104	Agent - Health	12/17/1996
Active	Humana Insurance Company	301104	Agent - Life	12/17/1996
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/3/2019	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/3/2020	12/15/2020
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/18/2001	2/23/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	1/24/2007	11/26/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	1/24/2007	11/26/2012
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	2/3/2023
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	1/30/2014	12/11/2017
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	3/1/2001	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	3/1/2001	5/17/2002
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	4/14/2003	6/7/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	4/14/2003	6/7/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Variable Life and Variable Annuities	9/1/2005	6/7/2008
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/1/2005	5/28/2010
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	8/15/2002	5/28/2010
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Variable Life and Variable Annuities	8/15/2002	5/28/2010
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	9/1/2005	12/11/2006
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Variable Life and Variable Annuities	9/1/2005	12/20/2006
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	4/25/2013
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - General Lines	2/4/1997	3/31/1998
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/29/2013	10/29/2015
Active	Lafayette Life Insurance Company (The)	301039	Agent - Health	6/11/1998
Active	Lafayette Life Insurance Company (The)	301039	Agent - Life	6/11/1998
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	8/9/2007	11/12/2018
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/2/2007	11/12/2018
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	8/9/2007	11/12/2018
Active	MICO Insurance Company	301664	Agent - Casualty	12/12/2022
Active	MICO Insurance Company	301664	Agent - Property	12/12/2022
Inactive	MML Bay State Life Insurance Company	301198	Agent - Health	1/22/1996	8/17/2010
Inactive	MML Bay State Life Insurance Company	301198	Agent - Life	1/22/1996	8/17/2010
Inactive	MML Bay State Life Insurance Company	301198	Agent - Variable Life and Variable Annuities	6/27/2001	8/17/2010
Inactive	Maryland Casualty Company	301719	Agent - General Lines	6/23/1994	3/31/1996
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	4/1/1986	8/17/2010
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	4/1/1986	8/17/2010
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Variable Life and Variable Annuities	6/27/2001	8/17/2010
Inactive	MedAmerica Insurance Company	301568	Agent - Health	6/3/2011	7/1/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	12/23/2010	6/20/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	3/30/2010	12/14/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	3/30/2010	12/14/2012
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	6/22/1999	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	6/22/1999	3/31/2001
Active	Milbank Insurance Company	925185	Agent - Casualty	3/18/2019
Active	Milbank Insurance Company	925185	Agent - Property	3/18/2019
Active	Minnesota Life Insurance Company	300488	Agent - Health	6/1/2021
Active	Minnesota Life Insurance Company	300488	Agent - Life	6/1/2021
Active	Minnesota Life Insurance Company	300488	Agent - Variable Life and Variable Annuities	6/1/2021
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Casualty	8/15/2000	12/22/2005
Inactive	Monroe Guaranty Insurance Company	300771	Agent - General Lines	2/16/2000	8/15/2000
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Property	8/15/2000	12/22/2005
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	5/1/2019
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	5/1/2019
Active	Motorists Mutual Insurance Company	300963	Agent - Casualty	6/16/2003
Active	Motorists Mutual Insurance Company	300963	Agent - Property	6/16/2003
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	12/27/2001
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	6/30/1994	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	12/27/2001
Inactive	National Trust Insurance Company	300367	Agent - Casualty	10/16/2002	12/22/2005
Inactive	National Trust Insurance Company	300367	Agent - Property	10/16/2002	12/22/2005
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	12/31/2009	6/4/2014
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	12/31/2009	6/4/2014
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	12/31/2009	6/4/2014
Inactive	Nationwide Life Insurance Company of America	301134	Agent - Health	3/5/1998	12/31/2009
Inactive	Nationwide Life Insurance Company of America	301134	Agent - Life	3/5/1998	12/31/2009
Inactive	Nationwide Life Insurance Company of America	301134	Agent - Variable Life and Variable Annuities	5/31/2001	12/31/2009
Inactive	Nationwide Life and Annuity Company of America	300172	Agent - Health	3/11/2005	12/31/2009
Inactive	Nationwide Life and Annuity Company of America	300172	Agent - Life	12/31/2009	12/31/2009
Inactive	Nationwide Life and Annuity Company of America	300172	Agent - Variable Life and Variable Annuities	3/11/2005	12/31/2009
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	7/8/2002
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Variable Life and Variable Annuities	7/8/2002
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	10/20/2011
Inactive	New England Life Insurance Company	300343	Agent - Health	2/22/1996	12/31/1998
Inactive	New England Life Insurance Company	300343	Agent - Life	2/22/1996	12/31/1998
Active	North American Company for Life and Health Insurance	300291	Agent - Life	10/10/2019
Active	NorthStone Insurance Company	818905	Agent - Casualty	4/5/2019
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	5/21/2004
Active	Ohio Casualty Insurance Company	301492	Agent - Property	5/21/2004
Active	Ohio Security Insurance Company	300622	Agent - Casualty	10/16/2018
Active	Ohio Security Insurance Company	300622	Agent - Property	10/16/2018
Inactive	Pacific Life & Annuity Company	300443	Agent - Health	3/7/1995	3/25/2003
Inactive	Pacific Life & Annuity Company	300443	Agent - Life	3/7/1995	3/25/2003
Active	Pacific Life Insurance Company	301848	Agent - Health	8/30/2023
Active	Pacific Life Insurance Company	301848	Agent - Life	8/30/2023
Active	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	8/30/2023
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007	10/20/2011
Active	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007
Active	Peerless Insurance Company	301910	Agent - Property	9/8/2007
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	8/11/2006
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	8/11/2006
Active	PinnaclePoint Insurance Company	819085	Agent - Casualty	4/5/2019
Active	Principal National Life Insurance Company	301926	Agent - Life	12/13/2019
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	1/4/2022
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	1/4/2022
Inactive	Protective Life Insurance Company	300638	Agent - Health	11/7/2016	11/23/2019
Inactive	Protective Life Insurance Company	300638	Agent - Life	11/7/2016	11/23/2019
Inactive	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	11/7/2016	11/23/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/7/1990	8/24/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/7/1990	12/12/2005
Inactive	Pruco Life Insurance Company	300954	Agent - Health	4/30/2007	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	4/14/2015	11/25/2020
Inactive	Prudential Insurance Company of America	300784	Agent - Health	6/23/1997	12/17/2004
Inactive	Prudential Insurance Company of America	300784	Agent - Life	6/23/1997	12/17/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	9/29/1995	9/3/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	9/29/1995	9/3/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/16/2007	2/27/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/16/2007	2/27/2016
Inactive	Reliance Insurance Company	300785	Agent - Casualty	8/15/2000	6/5/2001
Inactive	Reliance Insurance Company	300785	Agent - General Lines	3/17/1993	8/15/2000
Inactive	Reliance Insurance Company	300785	Agent - Property	8/15/2000	6/5/2001
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	3/14/1994	8/15/2000
Active	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	5/17/2023
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	3/14/1994	8/15/2000
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	5/17/2023
Inactive	SAFECO National Insurance Company	300989	Agent - Casualty	8/15/2000	12/7/2004
Inactive	SAFECO National Insurance Company	300989	Agent - General Lines	3/14/1994	8/15/2000
Inactive	SAFECO National Insurance Company	300989	Agent - Property	8/15/2000	12/7/2004
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	12/28/1992	12/30/1998
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	12/28/1992	12/30/1998
Active	Standard Insurance Company	300185	Agent - Health	3/11/2003
Active	Standard Insurance Company	300185	Agent - Life	3/11/2003
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	9/1/2022
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	9/1/2022
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	2/4/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	2/4/2020
Active	SummitPoint Insurance Company	819084	Agent - Casualty	4/5/2019
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	6/21/2009	8/22/2011
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	6/21/2009	8/22/2011
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	5/21/1997	8/22/2011
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	5/21/1997	8/22/2011
Active	Symetra Life Insurance Company	301691	Agent - Health	8/30/2022
Active	Symetra Life Insurance Company	301691	Agent - Life	8/30/2022
Active	Symetra Life Insurance Company	301691	Agent - Variable Life and Variable Annuities	8/30/2022
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	5/31/1990	12/18/2009
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	8/15/2003	12/18/2009
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	9/11/2000	12/18/2009
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	8/15/2003	12/18/2009
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	12/7/2011	12/8/2017
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2008
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	2/3/1987	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	2/3/1987	10/1/2008
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	6/30/1994	3/31/1998
Inactive	Transportation Insurance Company	301575	Agent - General Lines	6/30/1994	3/31/1998
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	4/26/2001	12/8/2006
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	4/26/2001	12/8/2006
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	4/26/2001	12/8/2006
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	4/26/2001	12/8/2006
Inactive	Trustmark Life Insurance Company	301286	Agent - Health	12/11/2017	12/10/2020
Inactive	Trustmark Life Insurance Company	301286	Agent - Life	12/11/2017	12/10/2020
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	2/12/2001	7/5/2007
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	2/12/2001	7/5/2007
Inactive	Unimerica Insurance Company	563724	Agent - Health	5/15/2008	12/15/2009
Inactive	Unimerica Insurance Company	563724	Agent - Life	5/15/2008	12/15/2009
Inactive	Union Central Life Insurance Company	300307	Agent - Health	4/3/2003	2/9/2007
Inactive	Union Central Life Insurance Company	300307	Agent - Life	4/3/2003	2/9/2007
Active	Union Insurance Company of Providence	842791	Agent - Casualty	2/12/2015
Active	Union Insurance Company of Providence	842791	Agent - Property	2/12/2015
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/25/2015	4/24/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/25/2015	4/24/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/23/2012	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	7/23/2012	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/23/2012	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/23/2012	12/1/2016
Active	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	9/4/2012
Active	Unitrin Auto and Home Insurance Company	301538	Agent - Property	9/4/2012
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	9/4/2012	12/2/2013
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	9/4/2012	12/2/2013
Active	Unitrin Safeguard Insurance Company	301371	Agent - Casualty	10/11/2018
Active	Unitrin Safeguard Insurance Company	301371	Agent - Property	10/11/2018
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	6/30/1994	3/31/1998
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	12/30/2005	6/6/2008
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Variable Life and Variable Annuities	12/30/2005	6/6/2008
Active	West American Insurance Company	301112	Agent - Casualty	5/21/2004
Active	West American Insurance Company	301112	Agent - Property	5/21/2004
Inactive	West Coast Life Insurance Company	301607	Agent - Life	9/6/2006	11/16/2011
Inactive	Western National Life Insurance Company	300461	Agent - Life	7/22/2004	11/21/2007
Active	Westfield Insurance Company	301950	Agent - Casualty	9/25/2023
Active	Westfield Insurance Company	301950	Agent - Property	9/25/2023
Inactive		300277	Agent - Life	2/24/2003	12/18/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - General Lines	7/1/1993	8/15/2000
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	7/1/1993	2/3/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	7/1/1993	2/3/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Property	8/15/2000	5/31/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Casualty	8/15/2000	12/10/2001
Active	Ansac Inc.	398408	Agent - Life	1/15/1992
Active	Ansac Inc.	398408	Agent - Health	1/15/1992
Active	Ansac Inc.	398408	Agent - Property	7/13/2001
Active	Ansac Inc.	398408	Agent - Casualty	7/13/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/9/1999	6/21/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/9/1999	6/21/2008
Inactive	Creative Benefits LLC	513264	Agent - Life	7/25/2003	3/13/2007
Inactive	Creative Benefits LLC	513264	Agent - Health	7/25/2003	3/13/2007
Active	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013
Inactive	Edward Frank Co Inc.	400640	Agent - Life	8/19/2010	8/31/2017
Inactive	Edward Frank Co Inc.	400640	Agent - Health	8/19/2010	8/31/2017
Inactive	Edward Frank Co Inc.	400640	Agent - Property	8/19/2010	8/31/2017
Inactive	Edward Frank Co Inc.	400640	Agent - Casualty	8/19/2010	8/31/2017
Active	Kentucky Financial Group Inc.	400432	Agent - Life	1/7/2004
Active	Kentucky Financial Group Inc.	400432	Agent - Health	1/7/2004
Inactive	Medlink Inc	400721	Agent - Life	9/24/2002	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	9/24/2002	3/31/2024
Active	Private Client Services, LLC	718426	Agent - Life	5/8/2014
Active	Private Client Services, LLC	718426	Agent - Health	5/8/2014
Active	Private Client Services, LLC	718426	Agent - Variable Life and Variable Annuities	5/8/2014
Active	Schwartz & Assoc Inc	400988	Agent - Life	6/15/2017
Active	Schwartz & Assoc Inc	400988	Agent - Health	6/15/2017
Active	Schwartz & Assoc Inc	400988	Agent - Property	6/15/2017
Active	Schwartz & Assoc Inc	400988	Agent - Casualty	6/15/2017