DEPARTMENT OF INSURANCE

Affiliations

Name	Cooper, Adam Keith	DOIID	556239	NAIC NPN	7407078

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Adjuster	Independent
Inactive	Resident	Agent	Property	9/20/2002	7/25/2012
Inactive	Resident	Agent	Life	1/31/2003	7/25/2012
Inactive	Resident	Agent	Health	1/31/2003	7/25/2012
Inactive	Resident	Agent	Casualty	9/20/2002	7/25/2012
Inactive	Resident	Apprentice Adjuster	Not Applicable	1/27/2010	1/18/2011
Active	Resident	Staff Adjuster	Property & Casualty	1/18/2011		7/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Staff Adjuster	05/15/2026	07/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	3/21/2003	2/1/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	9/8/2010
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/10/2006	9/3/2010
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/10/2006	9/3/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Health	12/22/2006	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Life	12/22/2006	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/22/2006	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/22/2006	9/8/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	12/22/2006	9/8/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	12/22/2006	9/8/2010
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/15/2005	3/2/2010
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	11/15/2005	3/2/2010
Denied	Progressive Northern Insurance Company	301378	Agent - Casualty
Denied	Progressive Northern Insurance Company	301378	Agent - Property
Inactive	Shelter General Insurance Company	301109	Agent - Casualty	9/20/2002	1/4/2010
Inactive	Shelter General Insurance Company	301109	Agent - Property	9/20/2002	1/4/2010
Inactive	Shelter Life Insurance Company	300391	Agent - Health	1/31/2003	1/4/2010
Inactive	Shelter Life Insurance Company	300391	Agent - Life	1/31/2003	1/4/2010
Inactive	Shelter Mutual Insurance Company	301870	Agent - Casualty	9/20/2002	1/4/2010
Inactive	Shelter Mutual Insurance Company	301870	Agent - Property	9/20/2002	1/4/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Casualty	2/27/2003	1/4/2010
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Property	2/27/2003	1/4/2010
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Health	1/5/2004	1/4/2010
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Life	1/5/2004	1/4/2010
Inactive	Gateway Ins Marketing Inc	613567	Agent - Health		2/8/2012
Inactive	Gateway Ins Marketing Inc	613567	Agent - Life		2/8/2012
Inactive	Medlink Inc	400721	Agent - Health	5/13/2004	9/8/2010
Inactive	Medlink Inc	400721	Agent - Life	5/13/2004	9/8/2010