DEPARTMENT OF INSURANCE

Affiliations

Name	Randolph, Reginald R	DOIID	311161	NAIC NPN	2192899

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/26/2021		7/31/2027
Active	Non Resident	Agent	Casualty	8/26/2021		7/31/2027
Inactive	Resident	Agent	General Lines	8/31/1999	8/15/2000
Inactive	Resident	Agent	Variable Life and Variable Annuities	4/16/2001	12/5/2001
Inactive	Resident	Agent	Health	8/9/1999	12/5/2001
Inactive	Resident	Agent	Life	8/9/1999	12/5/2001
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2025	07/31/2025	05/27/2025	05/27/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	2/3/2025
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	2/3/2025
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/29/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/29/2021
Active	Homesite Insurance Company	301139	Agent - Casualty	5/30/2022
Active	Homesite Insurance Company	301139	Agent - Property	5/30/2022
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	5/30/2022
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	5/30/2022
Inactive	LM General Insurance Company	300133	Agent - Casualty	8/15/2000	12/5/2001
Inactive	LM General Insurance Company	300133	Agent - General Lines	9/21/1999	8/15/2000
Inactive	LM General Insurance Company	300133	Agent - Property	8/15/2000	12/5/2001
Inactive	LM Property and Casualty Insurance Company	301658	Agent - Casualty	8/15/2000	12/5/2001
Inactive	LM Property and Casualty Insurance Company	301658	Agent - General Lines	8/31/1999	8/15/2000
Inactive	LM Property and Casualty Insurance Company	301658	Agent - Property	8/15/2000	12/5/2001
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	12/20/1999	12/5/2001
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	12/20/1999	12/5/2001
Active	Progressive Direct Insurance Company	301379	Agent - Casualty	9/2/2021
Active	Progressive Direct Insurance Company	301379	Agent - Property	9/2/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/20/1999	12/5/2001
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/20/1999	12/5/2001
Inactive	Pruco Life Insurance Company	300954	Agent - Health	8/9/1999	12/5/2001
Inactive	Pruco Life Insurance Company	300954	Agent - Life	8/9/1999	12/5/2001
Inactive	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	4/16/2001	12/5/2001
Inactive	Prudential Insurance Company of America	300784	Agent - Health	8/9/1999	12/5/2001
Inactive	Prudential Insurance Company of America	300784	Agent - Life	8/9/1999	12/5/2001
Inactive	Prudential Insurance Company of America	300784	Agent - Variable Life and Variable Annuities	4/16/2001	12/5/2001
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	9/28/2021	10/11/2022
Inactive	QBE Insurance Corporation	300515	Agent - Property	9/28/2021	10/11/2022
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	12/20/1999	12/5/2001
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	12/20/1999	12/5/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Progressive Advantage Agency , Inc.	518222	Agent - Property	9/3/2021
Active	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	9/3/2021