DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cooper, Bryan Mitchell	DOIID	903468	NAIC NPN	17816919

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/6/2023		8/31/2026
Active	Non Resident	Agent	Life	3/6/2023		8/31/2026
Active	Non Resident	Agent	Casualty	1/8/2016		8/31/2026
Active	Non Resident	Agent	Property	1/8/2016		8/31/2026
* 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	06/15/2024	08/31/2024	07/12/2024	07/12/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dairyland Insurance Company	301370	Agent - Casualty	1/20/2016
Active	Dairyland Insurance Company	301370	Agent - Property	1/20/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/19/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/19/2016
Active	National General Insurance Company	300152	Agent - Casualty	1/12/2016
Active	National General Insurance Company	300152	Agent - Property	1/12/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Affinity Brokerage, LLC	544886	Agent - Property	1/21/2016
Active	Affinity Brokerage, LLC	544886	Agent - Casualty	1/21/2016
Inactive	CWI, LLC	662170	Agent - Property	1/21/2016	4/29/2024
Inactive	CWI, LLC	662170	Agent - Casualty	1/21/2016	4/29/2024
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	1/21/2016	4/29/2024
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	1/21/2016	4/29/2024
Active	Direct General Insurance Agency Inc	1018980	Agent - Property	9/18/2020
Active	Direct General Insurance Agency Inc	1018980	Agent - Casualty	9/18/2020
Active	National General Ins Marketing Inc	621228	Agent - Property	1/12/2016
Active	National General Ins Marketing Inc	621228	Agent - Casualty	1/12/2016