DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cooper, Fred Whitt	DOIID	352485	NAIC NPN	99901

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	11/25/2003	8/2/2011
Inactive	Resident	Agent	Life	6/20/1994	8/2/2011
* 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	American General Life and Accident Insurance Company	301362	Agent - Health	1/5/2011	8/26/2011
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	1/5/2011	8/26/2011
Inactive	Encova Life Insurance Company	301818	Agent - Life	10/7/2002	5/16/2005
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/3/2006	11/6/2006
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/3/2006	11/6/2006
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	6/15/2009	11/9/2010
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	6/15/2009	11/9/2010
Inactive	Independent Order of Foresters	300743	Agent - Life	6/20/1994	9/8/1998
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	3/29/2001	12/1/2006
Inactive	Modern Woodmen of America	301213	Agent - Life	12/30/1998	7/23/1999
Inactive	National Life Insurance Company	301852	Agent - Life	3/29/2001	2/11/2003
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	4/4/2005	10/27/2010
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	4/4/2005	10/27/2010
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	4/4/2005	10/27/2010
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	4/4/2005	10/27/2010
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	12/1/2003	4/11/2005
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	9/19/2003	4/11/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Fraternal Financial Services, Inc.	559781	Agent - Life	11/6/2002	2/9/2004