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	Life	1/31/2003	7/25/2012
Inactive	Resident	Agent	Casualty	9/20/2002	7/25/2012
Inactive	Resident	Agent	Property	9/20/2002	7/25/2012
Inactive	Resident	Agent	Health	1/31/2003	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.

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