DEPARTMENT OF INSURANCE
Affiliations
NameFaulkner, Randal LDOIID330377NAIC NPN7176926
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentProperty8/15/200011/1/2015 
InactiveResidentAgentHealth6/16/198611/1/2015 
InactiveResidentAgentVariable Life and Variable Annuities5/31/200111/1/2015 
InactiveResidentAgentGeneral Lines6/16/19868/15/2000 
InactiveResidentAgentCasualty8/15/200011/1/2015 
InactiveResidentAgentLife6/16/198611/1/2015 
* 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.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAegis Security Insurance Company300492Agent - Casualty3/26/20108/20/2012
InactiveAegis Security Insurance Company300492Agent - Property3/26/20108/20/2012
InactiveAetna Health Inc. (PA)660717Agent - Health5/22/200911/21/2011
InactiveAetna Life Insurance Company301140Agent - Health5/22/200911/21/2011
InactiveAetna Life Insurance Company301140Agent - Life5/22/200911/21/2011
InactiveAll America Insurance Company300078Agent - Casualty8/7/20141/6/2015
InactiveAll America Insurance Company300078Agent - Property8/7/20141/6/2015
InactiveAnthem Life Insurance Company301209Agent - Health11/7/200311/1/2015
InactiveAnthem Life Insurance Company301209Agent - Life11/7/200311/1/2015
InactiveAssurity Life Insurance Company301099Agent - Health4/4/200511/8/2010
InactiveAssurity Life Insurance Company301099Agent - Life4/4/200511/8/2010
InactiveBristol West Insurance Company301655Agent - Casualty4/13/201011/1/2015
InactiveBristol West Insurance Company301655Agent - Property4/13/201011/1/2015
InactiveCentral Mutual Insurance Company300965Agent - Casualty8/7/20141/6/2015
InactiveCentral Mutual Insurance Company300965Agent - Property8/7/20141/6/2015
InactiveColonial Life and Accident Insurance Company300846Agent - Health5/20/20091/10/2012
InactiveColonial Life and Accident Insurance Company300846Agent - Life5/20/20091/10/2012
InactiveConnecticut General Life Insurance Company301333Agent - Health10/7/20096/11/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life10/7/20096/11/2014
InactiveDentiCare, Inc.300655Agent - Health8/23/200511/1/2005
InactiveFarmers Casualty Insurance Company301616Agent - Casualty9/13/20107/22/2013
InactiveFarmers Casualty Insurance Company301616Agent - Property9/13/20107/22/2013
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Casualty9/13/20107/22/2013
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Property9/13/20107/22/2013
InactiveFarmers Property and Casualty Insurance Company301237Agent - Casualty9/9/20107/22/2013
InactiveFarmers Property and Casualty Insurance Company301237Agent - Property9/9/20107/22/2013
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life2/6/200911/1/2015
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty6/5/200811/1/2015
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property6/5/200811/1/2015
InactiveJohn Alden Life Insurance Company300573Agent - Health2/9/20016/12/2008
InactiveJohn Alden Life Insurance Company300573Agent - Life2/9/20016/12/2008
InactiveLife Insurance Company of North America300711Agent - Health10/7/200911/1/2015
InactiveLife Insurance Company of North America300711Agent - Life10/7/200911/1/2015
InactiveMetropolitan General Insurance Company300709Agent - Casualty9/13/20107/22/2013
InactiveMetropolitan General Insurance Company300709Agent - Property9/13/20107/22/2013
InactiveNassau Life Insurance Company of Texas300872Agent - Health2/10/20036/2/2005
InactiveNassau Life Insurance Company of Texas300872Agent - Life2/10/20036/2/2005
InactiveNationwide Agribusiness Insurance Company301008Agent - Casualty2/7/20118/31/2012
InactiveNationwide Agribusiness Insurance Company301008Agent - Property2/7/20118/31/2012
InactiveNationwide Assurance Company300166Agent - Casualty8/15/20008/31/2012
InactiveNationwide Assurance Company300166Agent - General Lines10/15/19868/15/2000
InactiveNationwide General Insurance Company300603Agent - Casualty8/15/20008/31/2012
InactiveNationwide General Insurance Company300603Agent - General Lines1/13/19888/15/2000
InactiveNationwide General Insurance Company300603Agent - Property8/15/20008/31/2012
InactiveNationwide Insurance Company of America300333Agent - Casualty4/1/20118/31/2012
InactiveNationwide Insurance Company of America300333Agent - Property4/1/20118/31/2012
InactiveNationwide Life Insurance Company300495Agent - Health6/16/19868/31/2012
InactiveNationwide Life Insurance Company300495Agent - Life6/16/19868/31/2012
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities5/31/20011/27/2006
DeniedNationwide Life and Annuity Insurance Company300714Agent - Health  
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life12/7/20048/31/2012
InactiveNationwide Mutual Fire Insurance Company301722Agent - Casualty8/15/20008/31/2012
InactiveNationwide Mutual Fire Insurance Company301722Agent - General Lines6/16/19868/15/2000
InactiveNationwide Mutual Fire Insurance Company301722Agent - Property8/15/20008/31/2012
InactiveNationwide Mutual Insurance Company301749Agent - Casualty8/15/20008/31/2012
InactiveNationwide Mutual Insurance Company301749Agent - General Lines6/16/19868/15/2000
InactiveNationwide Mutual Insurance Company301749Agent - Property8/15/20008/31/2012
InactiveNationwide Property and Casualty Insurance Company300599Agent - Casualty8/15/20008/31/2012
InactiveNationwide Property and Casualty Insurance Company300599Agent - General Lines6/16/19868/15/2000
InactiveNationwide Property and Casualty Insurance Company300599Agent - Property8/15/20008/31/2012
InactiveReliaStar Life Insurance Company301712Agent - Health6/3/201110/5/2012
InactiveReliaStar Life Insurance Company301712Agent - Life6/3/201110/5/2012
InactiveReliaStar Life Insurance Company301712Agent - Variable Life and Variable Annuities6/3/201110/5/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Health6/3/20119/29/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Life6/3/20119/29/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Variable Life and Variable Annuities6/3/20119/29/2012
InactiveSentinel Insurance Company, Limited501696Agent - Casualty3/2/201112/17/2012
InactiveSentinel Insurance Company, Limited501696Agent - Property3/2/201112/17/2012
InactiveUnion Security Insurance Company301844Agent - Health11/1/20051/13/2015
InactiveVictoria Fire & Casualty Company300313Agent - Casualty2/12/20078/31/2012
InactiveVictoria Fire & Casualty Company300313Agent - Property2/12/20078/31/2012
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life11/7/20036/21/2008
InactiveArison Insurance Services, Inc.401001Agent - Health11/7/20036/21/2008
InactiveAssuredpartners Nl, Llc762387Agent - Life2/27/20141/23/2015
InactiveAssuredpartners Nl, Llc762387Agent - Health2/27/20141/23/2015
InactiveAssuredpartners Nl, Llc762387Agent - Property2/27/20141/23/2015
InactiveAssuredpartners Nl, Llc762387Agent - Casualty2/27/20141/23/2015
InactiveDesignated Agent Company Inc.681257Agent - Life6/28/200811/1/2015
InactiveDesignated Agent Company Inc.681257Agent - Health6/28/200811/1/2015
InactiveInsurors of KY Inc.398417Agent - Life4/30/20123/31/2014
InactiveInsurors of KY Inc.398417Agent - Health4/30/20123/31/2014
InactiveInsurors of KY Inc.398417Agent - Property4/30/20123/31/2014
InactiveInsurors of KY Inc.398417Agent - Casualty4/30/20123/31/2014
InactiveMedlink Inc400721Agent - Life8/3/200911/1/2015
InactiveMedlink Inc400721Agent - Health8/3/200911/1/2015
InactiveRandy Faulkner LLC725177Agent - Property4/1/201011/1/2015
InactiveRandy Faulkner LLC725177Agent - Casualty4/1/201011/1/2015

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