DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Cooper, Brian Ballard	DOIID	616487	NAIC NPN	8603555

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	3/7/2006	4/1/2010
Inactive	Resident	Agent	Life	10/31/2006	4/1/2010
Inactive	Resident	Agent	Property	3/7/2006	4/1/2010
Inactive	Resident	Agent	Health	10/31/2006	4/1/2010
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/7/2007	3/6/2007
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/7/2007	3/6/2007
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	11/14/2007	1/9/2009
Inactive	Encompass Indemnity Company	546376	Agent - Property	11/14/2007	1/9/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/20/2007	2/11/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/20/2007	2/11/2010
Inactive	MICO Insurance Company	301664	Agent - Casualty	5/19/2006	4/1/2010
Inactive	MICO Insurance Company	301664	Agent - Property	5/19/2006	4/1/2010
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	5/19/2006	4/1/2010
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	5/19/2006	4/1/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ansac Inc.	398408	Agent - Casualty	6/7/2006	4/1/2010
Inactive	Ansac Inc.	398408	Agent - Property	6/7/2006	4/1/2010
Inactive	Ansac Inc.	398408	Agent - Health	2/7/2007	3/6/2007
Inactive	Ansac Inc.	398408	Agent - Life	2/7/2007	3/6/2007