DEPARTMENT OF INSURANCE

Affiliations

Name	Cooper, David S	DOIID	318081	NAIC NPN	7166047

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Resident	Agent	Life	3/13/2000	7/1/2002
Denied	Resident	Agent	Health	3/13/2000	7/1/2002
Inactive	Resident	Agent	Credit Life & Health	8/8/1995	8/7/2000
Inactive	Resident	Agent	Credit Personal Property & Unemployment	5/16/1996	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	5/15/2001
* 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	AF&L Insurance Company	301582	Agent - Health	6/18/2001	3/15/2002
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	5/25/2001	3/15/2002
Denied	American General Life Insurance Company	301585	Agent - Health
Denied	American General Life Insurance Company	301585	Agent - Life
Inactive	American National Insurance Company	301861	Agent - Life	6/9/2000	6/18/2001
Inactive	Athene Annuity and Life Company	301893	Agent - Life	7/11/2000	7/1/2002
Inactive	Continental General Insurance Company	300691	Agent - Health	3/13/2000	7/1/2002
Inactive	Continental General Insurance Company	300691	Agent - Life	3/13/2000	7/1/2002
Inactive	Cotton States Life Insurance Company	300268	Agent - Life	3/26/2001	2/25/2002
Inactive	IL Annuity and Insurance Company	300772	Agent - Life	6/9/2000	2/27/2001
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/15/2001	3/15/2002
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	4/9/2001	3/15/2002
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	4/9/2001	3/15/2002
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	4/3/2000	2/27/2001
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	4/3/2000	2/27/2001
Inactive	Protective Property & Casualty Insurance Company	300393	Agent - Credit Personal Property & Unemployment	5/16/1996	8/7/2000
Inactive	Protective Property & Casualty Insurance Company	300393	Agent - Limited Line Credit	8/7/2000	2/27/2001
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/3/1998	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	5/15/2001
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	4/4/2000	7/1/2002
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	4/4/2000	7/1/2002
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	6/9/2000	7/1/2002
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	8/8/1995	9/3/1998
Inactive	United American Insurance Company	300910	Agent - Health	3/19/2001	2/22/2002
Inactive	United American Insurance Company	300910	Agent - Life	3/19/2001	2/22/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Senior Healthcare Insurance Associates Inc.	399807	Agent - Life	1/10/2001	7/1/2002
Inactive	Senior Healthcare Insurance Associates Inc.	399807	Agent - Health	1/10/2001	7/1/2002