DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Cooper, Mandy S	DOIID	657315	NAIC NPN	8726256

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/12/2007	12/31/2016
Inactive	Non Resident	Agent	Life	6/12/2007	12/31/2016
* 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	John Hancock Life Insurance Company	300821	Agent - Health	6/20/2008	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	6/20/2008	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	4/18/2012
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	4/18/2012
Inactive	LifeSecure Insurance Company	301629	Agent - Health	11/10/2007	5/10/2010
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	12/4/2007	5/26/2011
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	12/4/2007	5/26/2011
Inactive	New York Life Insurance Company	300431	Agent - Health	9/10/2012	4/21/2015
Inactive	New York Life Insurance Company	300431	Agent - Life	9/10/2012	4/21/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Health	1/9/2014	4/21/2015
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Life	1/9/2014	4/21/2015
Inactive	Seabury & Smith Inc	394854	Agent - Health	9/20/2013	4/8/2014
Inactive	Seabury & Smith Inc	394854	Agent - Life	9/20/2013	4/8/2014