DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cook, Grover Keith	DOIID	369569	NAIC NPN	549179

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	6/23/1987	5/30/2000
Inactive	Resident	Agent	Life	6/23/1987	5/30/2000
* 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	Loyal American Life Insurance Company	301172	Agent - Health	6/23/1987	3/31/1997
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	6/23/1987	3/31/1997
Inactive	United American Insurance Company	300910	Agent - Health	6/12/1998	5/30/2000
Inactive	United American Insurance Company	300910	Agent - Life	6/12/1998	5/30/2000

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 - Life	7/1/1993	5/18/1998
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	7/1/1993	5/18/1998