DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Cooper, Charles Mont	DOIID	313284	NAIC NPN	7161748

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	8/27/1992	2/1/2016
Inactive	Resident	Agent	Life	8/27/1992	2/1/2016
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Continental General Insurance Company	300691	Agent - Health	4/14/1998	11/28/2008
Inactive	Continental General Insurance Company	300691	Agent - Life	4/14/1998	11/28/2008
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/6/2006	12/26/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	4/27/2012	9/22/2014
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	1/29/1996	10/24/1996
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	1/29/1996	10/24/1996
Inactive	Time Insurance Company	300683	Agent - Health	10/5/1992	3/31/1997
Inactive	Time Insurance Company	300683	Agent - Life	10/5/1992	3/31/1997
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	11/12/2012	2/1/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/12/2012	2/1/2016
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	4/8/2002	2/1/2016
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	4/8/2002	2/1/2016
Inactive	United World Life Insurance Company	300532	Agent - Health	4/6/2006	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/12/2008	6/24/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/12/2008	6/24/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	West Kentucky Group Benefits	401049	Agent - Life	12/28/1998	2/24/2003
Inactive	West Kentucky Group Benefits	401049	Agent - Health	12/28/1998	2/24/2003