DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cooper, Douglas Russell	DOIID	994512	NAIC NPN	410611

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/14/2020	2/28/2023
Inactive	Non Resident	Agent	Health	5/16/2018	2/28/2023
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	5/2/2020	2/28/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	10/9/2018	2/28/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020	2/28/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/2/2020	2/28/2023
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	7/18/2018	4/9/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/9/2018	2/28/2023
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	4/17/2019	12/29/2021
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	9/16/2018	12/29/2018
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/3/2018	12/29/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	5/2/2020	2/28/2023
Inactive	United World Life Insurance Company	300532	Agent - Health	9/3/2018	12/29/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/3/2018	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ensurem II LLC	908041	Agent - Health	7/2/2019	6/7/2022
Denied	Ensurem II LLC	908041	Agent - Life
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	6/19/2019	2/24/2022