DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cooper, Timothy John	DOIID	657463	NAIC NPN	684873

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/13/2007		9/30/2026
Active	Non Resident	Agent	Health	6/13/2007		9/30/2026
* 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
Agent	07/15/2024	09/30/2024	09/25/2024	09/25/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	3/29/2017	3/21/2024
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	3/29/2017	3/21/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Brown & Brown Insurance Services Inc	637940	Agent - Life
Pending	Brown & Brown Insurance Services Inc	637940	Agent - Health
Active	Brown & Brown Of Oregon LLC	534000	Agent - Life	10/17/2018
Active	Brown & Brown Of Oregon LLC	534000	Agent - Health	10/17/2018