DEPARTMENT OF INSURANCE
Affiliations
NameCooper Insurance Inc.
DBA : Kentucky Mountain Insurance		DOIID399778NAIC NPN7221924
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentProperty8/15/20003/31/2013 
InactiveResidentAgentCasualty8/15/20003/31/2013 
InactiveResidentAgentAssessment Chapter 29910/16/199712/1/2000 
InactiveResidentAgentCredit Life & Health4/26/199312/21/1998 
InactiveResidentAgentGeneral Lines1/5/19838/15/2000 
InactiveResidentAgentHealth Maintenance Organization11/7/19913/1/2001 
InactiveResidentAgentHealth2/22/19933/31/2013 
InactiveResidentAgentLife5/31/20013/31/2013 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Casualty8/15/200010/7/2002
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - General Lines4/24/19978/15/2000
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property8/15/200010/7/2002
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health5/20/20031/12/2004
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life5/20/20031/12/2004
InactiveAmerican Guarantee and Liability Insurance Company301216Agent - Casualty8/8/20072/15/2011
InactiveAmerican Guarantee and Liability Insurance Company301216Agent - Property8/8/20072/15/2011
InactiveAmerican Heritage Life Insurance Company300272Agent - Health9/3/20033/31/2013
InactiveAmerican Heritage Life Insurance Company300272Agent - Life9/3/20033/31/2013
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty8/15/20003/31/2013
InactiveAmerican Modern Home Insurance Company300791Agent - General Lines12/13/19968/15/2000
InactiveAmerican Modern Home Insurance Company300791Agent - Property8/15/20003/31/2013
InactiveAmerican Reliable Insurance Company301889Agent - Casualty8/29/20063/31/2013
InactiveAmerican Reliable Insurance Company301889Agent - Property8/29/20063/31/2013
InactiveAmerican Zurich Insurance Company300592Agent - Casualty8/8/20073/31/2013
InactiveAmerican Zurich Insurance Company300592Agent - Property8/8/20073/31/2013
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/20013/31/2013
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization11/7/19913/1/2001
InactiveAnthem Life Insurance Company301209Agent - Health12/9/19993/31/2013
InactiveAnthem Life Insurance Company301209Agent - Life5/31/20013/31/2013
InactiveBankers United Life Assurance Company300296Agent - Health9/3/19933/31/1997
InactiveBankers United Life Assurance Company300296Agent - Life9/3/19933/31/1997
InactiveBaptist Health Plan, Inc.300157Agent - Health3/1/20013/31/2013
InactiveBaptist Health Plan, Inc.300157Agent - Health Maintenance Organization7/29/19993/1/2001
InactiveBerkshire Life Insurance Company of America300983Agent - Health6/27/200111/22/2011
InactiveBerkshire Life Insurance Company of America300983Agent - Life6/27/200111/22/2011
InactiveBrighthouse Life Insurance Company301829Agent - Health2/15/19954/15/2005
InactiveBrighthouse Life Insurance Company301829Agent - Life5/31/20014/15/2005
InactiveBuckeye Union Insurance Company (The)300597Agent - General Lines2/4/19973/31/1998
InactiveCatawba Insurance Company581090Agent - Casualty1/1/20049/3/2010
InactiveCatawba Insurance Company581090Agent - Property1/1/20049/3/2010
InactiveChase Insurance Life and Annuity Company300518Agent - Health10/7/19943/31/1997
InactiveChase Insurance Life and Annuity Company300518Agent - Life10/7/19943/31/1997
InactiveCommercial Insurance Company of Newark, New Jersey300328Agent - General Lines2/5/19973/31/1998
InactiveContinental Casualty Company301019Agent - Casualty8/15/200010/7/2002
InactiveContinental Casualty Company301019Agent - General Lines2/1/19978/15/2000
InactiveContinental Casualty Company301019Agent - Property8/15/200010/7/2002
InactiveContinental Insurance Company (The)301242Agent - Casualty8/15/200010/11/2001
InactiveContinental Insurance Company (The)301242Agent - General Lines1/5/19838/15/2000
InactiveContinental Insurance Company (The)301242Agent - Property8/15/200010/11/2001
InactiveFidelity and Casualty Company of New York (The)300160Agent - Casualty8/15/200010/11/2001
InactiveFidelity and Casualty Company of New York (The)300160Agent - General Lines2/1/19978/15/2000
InactiveFidelity and Casualty Company of New York (The)300160Agent - Property8/15/200010/11/2001
InactiveFidelity and Deposit Company of Maryland300976Agent - Casualty8/15/20002/15/2011
InactiveFidelity and Deposit Company of Maryland300976Agent - General Lines12/19/19948/15/2000
InactiveFidelity and Deposit Company of Maryland300976Agent - Property8/15/20002/15/2011
InactiveFiremen's Insurance Company of Newark, New Jersey300247Agent - General Lines1/31/19973/31/1998
InactiveFirst Mutual Insurance Company301258Agent - Assessment Chapter 29910/16/199712/1/2000
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health12/20/199510/31/1996
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life12/20/199510/31/1996
InactiveGenerali - U.S. Branch301128Agent - Casualty8/15/20003/31/2002
InactiveGenerali - U.S. Branch301128Agent - General Lines1/30/19998/15/2000
InactiveGenerali - U.S. Branch301128Agent - Property8/15/20003/31/2002
InactiveGlens Falls Insurance Company (The)301922Agent - General Lines1/10/199512/30/1999
InactiveGolden Rule Insurance Company301943Agent - Health10/28/19943/31/1997
InactiveGolden Rule Insurance Company301943Agent - Life10/28/19943/31/1997
InactiveGuardian Life Insurance Company of America301316Agent - Health2/22/199311/22/2011
InactiveGuardian Life Insurance Company of America301316Agent - Life5/31/200111/22/2011
InactiveGuideOne Specialty Insurance Company300278Agent - Casualty8/15/200010/23/2001
InactiveGuideOne Specialty Insurance Company300278Agent - General Lines6/19/19988/15/2000
InactiveGuideOne Specialty Insurance Company300278Agent - Property8/15/200010/23/2001
InactiveHeritage Life Insurance Company300081Agent - Credit Life & Health4/26/199312/21/1998
InactiveHomesite Insurance Company301139Agent - Casualty3/18/201012/12/2011
InactiveHomesite Insurance Company301139Agent - Property3/18/201012/12/2011
InactiveHumana Health Plan, Inc.300142Agent - Health5/2/20073/31/2013
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization6/8/19947/14/1997
InactiveHumana Insurance Company301104Agent - Health5/2/20073/31/2013
InactiveHumana Insurance Company301104Agent - Life5/2/20073/31/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Health5/2/20073/31/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Life5/2/20073/31/2013
InactiveIllinois Mutual Life Insurance Company301479Agent - Health9/23/199611/4/2011
InactiveIllinois Mutual Life Insurance Company301479Agent - Life5/31/200111/4/2011
InactiveInfinity Insurance Company300416Agent - Casualty8/15/20003/31/2002
InactiveInfinity Insurance Company300416Agent - General Lines4/5/19948/15/2000
InactiveInfinity Select Insurance Company300169Agent - Casualty8/15/20003/31/2002
InactiveInfinity Select Insurance Company300169Agent - General Lines5/17/19968/15/2000
InactiveInvestors Heritage Life Insurance Company300363Agent - Health11/21/19973/31/2013
InactiveInvestors Heritage Life Insurance Company300363Agent - Life5/31/20013/31/2013
InactiveJackson National Life Insurance Company300486Agent - Health8/16/19935/20/1999
InactiveJackson National Life Insurance Company300486Agent - Life8/16/19935/20/1999
InactiveJohn Alden Life Insurance Company300573Agent - Health8/31/19943/31/1997
InactiveJohn Alden Life Insurance Company300573Agent - Life8/31/19943/31/1997
InactiveKanawha Insurance Company300127Agent - Health4/14/20084/25/2013
InactiveKanawha Insurance Company300127Agent - Life4/14/20084/25/2013
InactiveKansas City Fire and Marine Insurance Company301936Agent - General Lines1/5/198312/30/1999
InactiveKentucky Home Life Insurance Company300477Agent - Health12/16/199812/30/2004
InactiveKentucky Home Life Insurance Company300477Agent - Life5/31/200112/30/2004
InactiveKentucky National Insurance Company301625Agent - Casualty8/15/20001/10/2013
InactiveKentucky National Insurance Company301625Agent - General Lines1/10/19848/15/2000
InactiveKentucky National Insurance Company301625Agent - Property8/15/20001/10/2013
InactiveLife Insurance Company of Alabama301439Agent - Health2/22/19933/31/2013
InactiveLife Insurance Company of Alabama301439Agent - Life5/31/20013/31/2013
InactiveLincoln General Insurance Company301580Agent - Casualty3/11/20023/10/2004
InactiveLincoln General Insurance Company301580Agent - Property3/11/20023/10/2004
InactiveMidland National Life Insurance Company300923Agent - Health4/9/20012/3/2003
InactiveMidland National Life Insurance Company300923Agent - Life4/9/20012/3/2003
InactiveNational Fire Insurance Company of Hartford301063Agent - Casualty8/15/200010/7/2002
InactiveNational Fire Insurance Company of Hartford301063Agent - General Lines2/3/19978/15/2000
InactiveNational Fire Insurance Company of Hartford301063Agent - Property8/15/200010/7/2002
InactiveNational Guardian Life Insurance Company300596Agent - Health9/17/19933/31/1999
InactiveNational Guardian Life Insurance Company300596Agent - Life9/17/19933/31/1999
InactiveProgressive Casualty Insurance Company300696Agent - Casualty3/24/20041/29/2011
InactiveProgressive Casualty Insurance Company300696Agent - Property3/24/20041/29/2011
InactiveProgressive Max Insurance Company301034Agent - Casualty8/15/200011/27/2007
InactiveProgressive Max Insurance Company301034Agent - General Lines8/30/19998/15/2000
InactiveProgressive Max Insurance Company301034Agent - Property8/15/200011/27/2007
InactiveProgressive Northern Insurance Company301378Agent - Casualty8/15/20001/29/2011
InactiveProgressive Northern Insurance Company301378Agent - General Lines8/30/19998/15/2000
InactiveProgressive Northern Insurance Company301378Agent - Property8/15/20001/29/2011
InactiveProgressive Northwestern Insurance Company300441Agent - Casualty8/15/20002/8/2006
InactiveProgressive Northwestern Insurance Company300441Agent - General Lines8/30/19998/15/2000
InactiveProgressive Northwestern Insurance Company300441Agent - Property8/15/20002/8/2006
InactiveProgressive Specialty Insurance Company300797Agent - Casualty8/15/200011/27/2007
InactiveProgressive Specialty Insurance Company300797Agent - General Lines2/17/20008/15/2000
InactiveProgressive Specialty Insurance Company300797Agent - Property8/15/200011/27/2007
InactiveQBE Insurance Corporation300515Agent - Casualty8/15/200011/1/2002
InactiveQBE Insurance Corporation300515Agent - General Lines12/8/19998/15/2000
InactiveQBE Insurance Corporation300515Agent - Property8/15/200011/1/2002
InactiveReassure America Life Insurance Company301902Agent - Health3/22/19961/2/2003
InactiveReassure America Life Insurance Company301902Agent - Life3/22/19961/2/2003
InactiveSouth Carolina Insurance Company300080Agent - Casualty8/15/20004/1/2005
InactiveSouth Carolina Insurance Company300080Agent - General Lines3/9/19988/15/2000
InactiveSouth Carolina Insurance Company300080Agent - Property8/15/20004/1/2005
InactiveTranscontinental Insurance Company301731Agent - Casualty8/15/200010/7/2002
InactiveTranscontinental Insurance Company301731Agent - General Lines2/1/19978/15/2000
InactiveTranscontinental Insurance Company301731Agent - Property8/15/200010/7/2002
InactiveTransport Insurance Company301683Agent - General Lines3/24/19943/31/1996
InactiveTransportation Insurance Company301575Agent - Casualty8/15/200010/7/2002
InactiveTransportation Insurance Company301575Agent - General Lines2/1/19978/15/2000
InactiveTransportation Insurance Company301575Agent - Property8/15/200010/7/2002
InactiveTrexis Insurance Corporation599902Agent - Casualty1/10/20053/8/2005
InactiveUnion Security Insurance Company301844Agent - Health5/11/19943/31/2013
InactiveUnion Security Insurance Company301844Agent - Life5/31/20013/31/2013
InactiveUnited Financial Casualty Company301886Agent - Casualty12/7/20051/29/2011
InactiveUnited Financial Casualty Company301886Agent - Property12/7/20051/29/2011
InactiveUnitedHealthcare Insurance Company300946Agent - Health2/15/19955/20/2005
InactiveUnitedHealthcare Insurance Company300946Agent - Life5/31/20015/20/2005
InactiveUniversal Insurance Company686754Agent - Casualty10/20/200812/21/2012
InactiveUniversal Insurance Company686754Agent - Property10/20/200812/21/2012
InactiveValley Forge Insurance Company301052Agent - Casualty8/15/200010/7/2002
InactiveValley Forge Insurance Company301052Agent - General Lines2/3/19978/15/2000
InactiveValley Forge Insurance Company301052Agent - Property8/15/200010/7/2002
InactiveVirginia Surety Company, Inc.301022Agent - General Lines8/22/19913/31/1998
InactiveWestern Surety Company300283Agent - Casualty8/15/20006/20/2012
InactiveWestern Surety Company300283Agent - General Lines4/27/19948/15/2000
InactiveWilcac Life Insurance Company301573Agent - Health3/22/199611/13/2000
InactiveWilcac Life Insurance Company301573Agent - Life3/22/199611/13/2000
InactiveWilco Life Insurance Company300122Agent - Health5/27/19984/2/2001
InactiveWilco Life Insurance Company300122Agent - Life5/27/19984/2/2001
InactiveZurich American Insurance Company301121Agent - Casualty8/8/20072/15/2011
InactiveZurich American Insurance Company301121Agent - Property8/8/20072/15/2011
InactiveZurich American Insurance Company of Illinois301805Agent - Casualty8/8/20072/15/2011
InactiveZurich American Insurance Company of Illinois301805Agent - Property8/8/20072/15/2011
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Health8/24/199912/31/2001
InactiveArison Insurance Services, Inc.401001Agent - Life8/24/199912/31/2001
InactiveAsher, Charlene S 332606Agent - Casualty8/15/200011/30/2002
InactiveAsher, Charlene S 332606Agent - General Lines6/14/19838/15/2000
InactiveAsher, Charlene S 332606Agent - Property8/15/200011/30/2002
InactiveBegley, Winnie C 317557Agent - Casualty8/15/20003/31/2013
InactiveBegley, Winnie C 317557Agent - General Lines10/31/19918/15/2000
InactiveBegley, Winnie C 317557Agent - Property1/12/20053/31/2013
InactiveBrashear, Elizabeth Denise 586820Agent - Casualty6/15/20042/8/2011
InactiveBrashear, Elizabeth Denise 586820Agent - Property6/15/20042/8/2011
InactiveBrashear, Ruth M 343259Agent - Casualty8/15/20003/31/2013
InactiveBrashear, Ruth M 343259Agent - General Lines2/20/19968/15/2000
InactiveBrashear, Ruth M 343259Agent - Health2/20/19963/31/2013
InactiveBrashear, Ruth M 343259Agent - Life2/20/19963/31/2013
InactiveBrashear, Ruth M 343259Agent - Property8/15/20003/31/2013
InactiveDental Choice Agency Inc.398085Agent - Health3/1/200112/31/2001
InactiveDental Choice Agency Inc.398085Agent - Prepaid Dental Plan8/9/19993/1/2001
InactiveHaynes, Christopher Lee 329520Agent - Casualty8/15/20001/12/2005
InactiveHaynes, Christopher Lee 329520Agent - General Lines11/7/19918/15/2000
InactiveHaynes, Christopher Lee 329520Agent - Health11/7/19911/12/2005
InactiveHaynes, Christopher Lee 329520Agent - Life11/7/19911/12/2005
InactiveHaynes, Christopher Lee 329520Agent - Property8/15/20001/12/2005
InactiveMiller, Michael Douglas 373457Agent - Casualty8/15/20001/12/2005
InactiveMiller, Michael Douglas 373457Agent - General Lines9/13/19938/15/2000
InactiveMiller, Michael Douglas 373457Agent - Health9/13/19931/12/2005
InactiveMiller, Michael Douglas 373457Agent - Life9/13/19931/12/2005
InactiveMiller, Michael Douglas 373457Agent - Property8/15/20001/12/2005
InactiveMorris, Marlene P 378017Agent - Casualty1/12/20053/31/2013
InactiveMorris, Marlene P 378017Agent - Property1/12/20053/31/2013
InactiveRiddle, Larry E 319385Agent - Casualty8/15/200012/27/2001
InactiveRiddle, Larry E 319385Agent - General Lines5/21/19938/15/2000
InactiveRiddle, Larry E 319385Agent - Property8/15/200012/27/2001
InactiveWalters, David Anthony 309708Agent - Health3/1/20011/12/2005
InactiveWalters, David Anthony 309708Agent - Health Maintenance Organization6/8/19943/1/2001
InactiveWhitt, Michael Ward 349445Agent - Health9/21/19921/12/2005
InactiveWhitt, Michael Ward 349445Agent - Life9/21/19921/12/2005
InactiveWood, Adrian Rue 322009Agent - Casualty8/15/200012/27/2001
InactiveWood, Adrian Rue 322009Agent - General Lines11/7/19918/15/2000
InactiveWood, Adrian Rue 322009Agent - Health11/7/19911/12/2005
InactiveWood, Adrian Rue 322009Agent - Life11/7/19911/12/2005
InactiveWood, Adrian Rue 322009Agent - Property8/15/200012/27/2001

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