Individual Information

SHANE A COOPER

Address:

AUSTIN, TX 78728-5442

Status:

Active

Email:

shane.starr1644@outlook.com

Date:

03/25/2021

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3647977	03/25/2021	Active	03/25/2021	03/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	12/10/2021	Active	12/10/2021
Health	12/10/2021	Active	12/10/2021
Life	03/25/2021	Active	03/25/2021
Property	12/10/2021	Active	12/10/2021

Company Name	Appointment Type	Status	Active Date
261
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	12/11/2024
	Property	Active	12/11/2024

row(s) 1 - 2 of 2

Organization	Association Type	Type	Beg dte	End dte
Covertree Inc	Designated Resp Lic Prdcr	Agency	04/22/2025	-

1 - 1