DEPARTMENT OF INSURANCE

Name	Cooper, Brian Ballard	DOIID	616487	NAIC NPN	8603555

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	3/7/2006	4/1/2010
Inactive	Resident	Agent	Casualty	3/7/2006	4/1/2010
Inactive	Resident	Agent	Life	10/31/2006	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.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	ANSAC INC 1417 Story AveLouisville, KY 40206
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(502) 589-4444