DEPARTMENT OF INSURANCE

Affiliations

Name	Donald C Cook LLC	DOIID	607412	NAIC NPN	8450614

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	4/21/2005	1/4/2013
Inactive	Resident	Agent	Property	4/21/2005	1/4/2013
Inactive	Resident	Agent	Life	4/21/2005	1/4/2013
Inactive	Resident	Agent	Casualty	4/21/2005	1/4/2013
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AAA Life Insurance Company	300287	Agent - Health	9/2/2010	1/4/2013
Inactive	AAA Life Insurance Company	300287	Agent - Life	9/2/2010	1/4/2013
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	2/19/2008	2/2/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/19/2008	2/2/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	2/19/2008	2/2/2012
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	3/13/2006	1/4/2013
Inactive	American Fire and Casualty Company	300567	Agent - Property	3/13/2006	1/4/2013
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/21/2010	1/4/2013
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/21/2010	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/21/2010	1/4/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/21/2010	1/4/2013
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	6/6/2007	1/4/2013
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	6/6/2007	1/4/2013
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	4/27/2005	12/11/2012
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	4/27/2005	12/11/2012
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	4/27/2005	12/11/2012
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	4/27/2005	12/11/2012
Inactive	Banner Life Insurance Company	301696	Agent - Life	3/30/2011	1/4/2013
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	1/4/2009	11/1/2012
Inactive	Bristol West Insurance Company	301655	Agent - Property	1/4/2009	11/1/2012
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	1/15/2008	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	1/15/2008	10/20/2011
Inactive	Dental Care Plus Inc.	301495	Agent - Health	12/22/2009	1/4/2013
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	3/14/2008	8/23/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	3/14/2008	8/23/2012
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/16/2008	1/4/2013
Inactive	First National Insurance Company of America	301690	Agent - Property	10/16/2008	1/4/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/18/2008	11/1/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/18/2008	11/1/2012
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/16/2008	1/4/2013
Inactive	General Insurance Company of America	300261	Agent - Property	10/16/2008	1/4/2013
Inactive	Genworth Life Insurance Company	300623	Agent - Health	2/9/2010	11/19/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	2/9/2010	11/19/2012
Inactive	Indiana Insurance Company	301909	Agent - Casualty	1/15/2008	1/4/2013
Inactive	Indiana Insurance Company	301909	Agent - Property	1/15/2008	1/4/2013
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	1/15/2008	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	1/15/2008	10/20/2011
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	3/13/2006	1/4/2013
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	3/13/2006	1/4/2013
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	3/13/2006	1/4/2013
Inactive	Ohio Security Insurance Company	300622	Agent - Property	3/13/2006	1/4/2013
Inactive	Owners Insurance Company	300796	Agent - Casualty	4/27/2005	12/11/2012
Inactive	Owners Insurance Company	300796	Agent - Property	4/27/2005	12/11/2012
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	1/15/2008	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	1/15/2008	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	1/15/2008	1/4/2013
Inactive	Peerless Insurance Company	301910	Agent - Property	1/15/2008	1/4/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/16/2008	1/4/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/16/2008	1/4/2013
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/16/2008	1/4/2013
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/16/2008	1/4/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	1/18/2010	1/4/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	1/18/2010	1/4/2013
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	3/14/2008	8/23/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	3/14/2008	8/23/2012
Inactive	West American Insurance Company	301112	Agent - Casualty	3/13/2006	1/4/2013
Inactive	West American Insurance Company	301112	Agent - Property	3/13/2006	1/4/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Belanger, Paula Lynn	372587	Agent - Casualty	4/21/2005	6/17/2011
Inactive	Belanger, Paula Lynn	372587	Agent - Health	3/22/2010	6/17/2011
Inactive	Belanger, Paula Lynn	372587	Agent - Life	3/22/2010	6/17/2011
Inactive	Belanger, Paula Lynn	372587	Agent - Property	4/21/2005	6/17/2011
Inactive	Cook, Donald Cerwin	370031	Agent - Casualty	4/21/2005	1/4/2013
Inactive	Cook, Donald Cerwin	370031	Agent - Health	4/21/2005	1/4/2013
Inactive	Cook, Donald Cerwin	370031	Agent - Life	4/21/2005	1/4/2013
Inactive	Cook, Donald Cerwin	370031	Agent - Property	4/21/2005	1/4/2013
Inactive	Zinser, Kurt Anthony	344568	Agent - Casualty	11/25/2009	1/4/2013
Inactive	Zinser, Kurt Anthony	344568	Agent - Health	11/25/2009	1/4/2013
Inactive	Zinser, Kurt Anthony	344568	Agent - Life	11/25/2009	1/4/2013
Inactive	Zinser, Kurt Anthony	344568	Agent - Property	11/25/2009	1/4/2013
Inactive	Zinser, Therese Marie	620460	Agent - Casualty	10/4/2011	1/4/2013
Inactive	Zinser, Therese Marie	620460	Agent - Health	11/25/2009	1/4/2013
Inactive	Zinser, Therese Marie	620460	Agent - Life	11/25/2009	1/4/2013
Inactive	Zinser, Therese Marie	620460	Agent - Property	10/4/2011	1/4/2013