DEPARTMENT OF INSURANCE
Affiliations
NameGlass, Randolph JDOIID811884NAIC NPN4678262
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife6/7/2013 1/31/2028
ActiveNon ResidentAgentCasualty9/28/2023 1/31/2028
ActiveNon ResidentAgentProperty9/28/2023 1/31/2028
ActiveNon ResidentAgentHealth6/7/2013 1/31/2028
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
InactiveAccendo Insurance Company300312Agent - Life7/15/202012/30/2023
ActiveAetna Health Inc. (PA)660717Agent - Health7/27/2021 
ActiveAetna Health and Life Insurance Company300523Agent - Health10/9/2018 
InactiveAetna Health of Ohio Inc.1065035Agent - Health7/27/20214/24/2024
ActiveAetna Life Insurance Company301140Agent - Health7/27/2021 
InactiveAetna Life Insurance Company301140Agent - Life9/18/20187/8/2021
InactiveAmerican Continental Insurance Company643130Agent - Life10/9/20188/11/2021
InactiveAmerican Retirement Life Insurance Company706303Agent - Health12/17/201512/22/2020
InactiveAmerican Retirement Life Insurance Company706303Agent - Life12/17/201512/22/2020
ActiveAmerican Strategic Insurance Corp883540Agent - Casualty10/30/2023 
ActiveAmerican Strategic Insurance Corp883540Agent - Property10/30/2023 
InactiveAmeritas Life Insurance Corporation300126Agent - Health3/28/202010/26/2021
InactiveAnthem Life Insurance Company301209Agent - Health7/22/20205/8/2021
InactiveAnthem Life Insurance Company301209Agent - Life7/22/20205/8/2021
InactiveArcadian Health Plan, Inc.728196Agent - Health11/29/202112/12/2024
InactiveBankers Fidelity Assurance Company554627Agent - Health9/7/20177/23/2018
InactiveBankers Fidelity Assurance Company554627Agent - Life9/7/20177/23/2018
InactiveBankers Fidelity Life Insurance Company300193Agent - Health9/7/20177/23/2018
InactiveBankers Fidelity Life Insurance Company300193Agent - Life9/7/20177/23/2018
ActiveBristol West Insurance Company301655Agent - Casualty1/11/2024 
ActiveBristol West Insurance Company301655Agent - Property1/11/2024 
InactiveCIGNA Health & Life Insurance Company301783Agent - Health5/12/20203/19/2026
ActiveCSAA Fire & Casualty Insurance Company606666Agent - Casualty11/2/2023 
ActiveCSAA Fire & Casualty Insurance Company606666Agent - Property11/2/2023 
ActiveCSAA General Insurance Company606675Agent - Casualty11/2/2023 
ActiveCSAA General Insurance Company606675Agent - Property11/2/2023 
DeniedCare Improvement Plus South Central Insurance Company799697Agent - Health  
InactiveCompBenefits Dental, Inc.591692Agent - Health6/10/20134/20/2018
InactiveCompanion Life Insurance Company300191Agent - Health6/24/20134/27/2021
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health10/9/2018 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life3/10/2021 
InactiveDental Concern Inc. (The)301641Agent - Health6/10/20134/20/2018
ActiveFarmers Direct Property and Casualty Insurance Company300957Agent - Casualty1/11/2024 
ActiveFarmers Direct Property and Casualty Insurance Company300957Agent - Property1/11/2024 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Casualty1/11/2024 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Property1/11/2024 
InactiveFirst Health Life & Health Insurance Company301735Agent - Health9/18/20187/8/2021
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty1/11/2024 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property1/11/2024 
ActiveGEICO Marine Insurance Company590512Agent - Casualty7/10/2025 
ActiveGEICO Marine Insurance Company590512Agent - Property7/10/2025 
ActiveGrange Indemnity Insurance Company300793Agent - Casualty8/12/2025 
ActiveGrange Indemnity Insurance Company300793Agent - Property8/12/2025 
ActiveGrange Insurance Company300234Agent - Casualty8/12/2025 
ActiveGrange Insurance Company300234Agent - Property8/12/2025 
ActiveGrange Property & Casualty Insurance Company601680Agent - Casualty8/12/2025 
ActiveGrange Property & Casualty Insurance Company601680Agent - Property8/12/2025 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health11/12/201912/12/2024
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health5/1/20152/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health6/10/20134/20/2018
InactiveHumana Insurance Company301104Agent - Health1/25/201912/15/2020
InactiveHumana Insurance Company301104Agent - Life1/25/201912/15/2020
InactiveHumana Insurance Company of Kentucky300826Agent - Health6/10/20134/20/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life6/10/20134/20/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health1/8/202012/12/2024
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/20164/20/2018
ActiveIntegon Indemnity Corporation300674Agent - Casualty3/15/2025 
ActiveIntegon Indemnity Corporation300674Agent - Property3/15/2025 
InactiveKanawha Insurance Company300127Agent - Health6/10/201310/22/2015
InactiveKanawha Insurance Company300127Agent - Life6/10/201310/22/2015
InactiveManhattan Life Insurance Company300880Agent - Health2/27/20181/30/2019
InactiveManhattanLife Insurance and Annuity Company301795Agent - Health2/28/20187/26/2018
InactiveMutual of Omaha Insurance Company301012Agent - Health9/6/20177/18/2018
InactiveOmaha Insurance Company751908Agent - Health9/6/20177/18/2018
ActiveRoot Insurance Company964834Agent - Casualty10/11/2024 
ActiveRoot Insurance Company964834Agent - Property10/11/2024 
InactiveSilverScript Insurance Company663526Agent - Health7/27/20214/24/2024
InactiveStarr Indemnity and Liability Company301685Agent - Health7/2/201311/7/2016
InactiveTime Insurance Company300683Agent - Health6/11/201312/20/2014
InactiveTime Insurance Company300683Agent - Life6/11/201312/20/2014
ActiveTrustgard Insurance Company300104Agent - Casualty8/12/2025 
ActiveTrustgard Insurance Company300104Agent - Property8/12/2025 
InactiveUnited World Life Insurance Company300532Agent - Health2/24/20202/22/2021
InactiveUnited of Omaha Life Insurance Company300156Agent - Health9/6/20177/18/2018
InactiveUnited of Omaha Life Insurance Company300156Agent - Life9/6/20177/18/2018
InactiveUnitedHealthcare Insurance Company300946Agent - Health10/6/20212/21/2023
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/15/20163/13/2017
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health10/6/202112/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health10/6/202112/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/26/201512/5/2016
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health10/6/20212/21/2023
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health1/21/202210/3/2023
InactiveWellCare Prescription Insurance Inc.654329Agent - Health3/8/201910/3/2023
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life7/22/20205/10/2021
InactiveDesignated Agent Company Inc.681257Agent - Health7/22/20205/10/2021
InactiveEnsurem II LLC908041Agent - Life9/6/20184/9/2021
InactiveEnsurem II LLC908041Agent - Health9/6/20184/9/2021
ActiveInsuranceZebra, Inc.794167Agent - Casualty10/30/2023 
ActiveInsuranceZebra, Inc.794167Agent - Property10/30/2023 
InactiveeHealthInsurance Services Inc.514105Agent - Health10/20/20212/7/2023

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