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DEPARTMENT OF INSURANCE
Affiliations
Name
Faulkner, Randal L
DOIID
330377
NAIC NPN
7176926
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Property
8/15/2000
11/1/2015
Inactive
Resident
Agent
Health
6/16/1986
11/1/2015
Inactive
Resident
Agent
Variable Life and Variable Annuities
5/31/2001
11/1/2015
Inactive
Resident
Agent
Life
6/16/1986
11/1/2015
Inactive
Resident
Agent
Casualty
8/15/2000
11/1/2015
Inactive
Resident
Agent
General Lines
6/16/1986
8/15/2000
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Aegis Security Insurance Company
300492
Agent - Casualty
3/26/2010
8/20/2012
Inactive
Aegis Security Insurance Company
300492
Agent - Property
3/26/2010
8/20/2012
Inactive
Aetna Health Inc. (PA)
660717
Agent - Health
5/22/2009
11/21/2011
Inactive
Aetna Life Insurance Company
301140
Agent - Health
5/22/2009
11/21/2011
Inactive
Aetna Life Insurance Company
301140
Agent - Life
5/22/2009
11/21/2011
Inactive
All America Insurance Company
300078
Agent - Casualty
8/7/2014
1/6/2015
Inactive
All America Insurance Company
300078
Agent - Property
8/7/2014
1/6/2015
Inactive
Anthem Life Insurance Company
301209
Agent - Health
11/7/2003
11/1/2015
Inactive
Anthem Life Insurance Company
301209
Agent - Life
11/7/2003
11/1/2015
Inactive
Assurity Life Insurance Company
301099
Agent - Health
4/4/2005
11/8/2010
Inactive
Assurity Life Insurance Company
301099
Agent - Life
4/4/2005
11/8/2010
Inactive
Bristol West Insurance Company
301655
Agent - Casualty
4/13/2010
11/1/2015
Inactive
Bristol West Insurance Company
301655
Agent - Property
4/13/2010
11/1/2015
Inactive
Central Insurance Company
300965
Agent - Casualty
8/7/2014
1/6/2015
Inactive
Central Insurance Company
300965
Agent - Property
8/7/2014
1/6/2015
Inactive
Colonial Life and Accident Insurance Company
300846
Agent - Health
5/20/2009
1/10/2012
Inactive
Colonial Life and Accident Insurance Company
300846
Agent - Life
5/20/2009
1/10/2012
Inactive
Connecticut General Life Insurance Company
301333
Agent - Health
10/7/2009
6/11/2014
Inactive
Connecticut General Life Insurance Company
301333
Agent - Life
10/7/2009
6/11/2014
Inactive
DentiCare, Inc.
300655
Agent - Health
8/23/2005
11/1/2005
Inactive
Farmers Casualty Insurance Company
301616
Agent - Casualty
9/13/2010
7/22/2013
Inactive
Farmers Casualty Insurance Company
301616
Agent - Property
9/13/2010
7/22/2013
Inactive
Farmers Direct Property and Casualty Insurance Company
300957
Agent - Casualty
9/13/2010
7/22/2013
Inactive
Farmers Direct Property and Casualty Insurance Company
300957
Agent - Property
9/13/2010
7/22/2013
Inactive
Farmers Property and Casualty Insurance Company
301237
Agent - Casualty
9/9/2010
7/22/2013
Inactive
Farmers Property and Casualty Insurance Company
301237
Agent - Property
9/9/2010
7/22/2013
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Life
2/6/2009
11/1/2015
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Casualty
6/5/2008
11/1/2015
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Property
6/5/2008
11/1/2015
Inactive
John Alden Life Insurance Company
300573
Agent - Health
2/9/2001
6/12/2008
Inactive
John Alden Life Insurance Company
300573
Agent - Life
2/9/2001
6/12/2008
Inactive
Life Insurance Company of North America
300711
Agent - Health
10/7/2009
11/1/2015
Inactive
Life Insurance Company of North America
300711
Agent - Life
10/7/2009
11/1/2015
Inactive
Metropolitan General Insurance Company
300709
Agent - Casualty
9/13/2010
7/22/2013
Inactive
Metropolitan General Insurance Company
300709
Agent - Property
9/13/2010
7/22/2013
Inactive
Nassau Life Insurance Company of Texas
300872
Agent - Health
2/10/2003
6/2/2005
Inactive
Nassau Life Insurance Company of Texas
300872
Agent - Life
2/10/2003
6/2/2005
Inactive
Nationwide Agribusiness Insurance Company
301008
Agent - Casualty
2/7/2011
8/31/2012
Inactive
Nationwide Agribusiness Insurance Company
301008
Agent - Property
2/7/2011
8/31/2012
Inactive
Nationwide Assurance Company
300166
Agent - Casualty
8/15/2000
8/31/2012
Inactive
Nationwide Assurance Company
300166
Agent - General Lines
10/15/1986
8/15/2000
Inactive
Nationwide General Insurance Company
300603
Agent - Casualty
8/15/2000
8/31/2012
Inactive
Nationwide General Insurance Company
300603
Agent - General Lines
1/13/1988
8/15/2000
Inactive
Nationwide General Insurance Company
300603
Agent - Property
8/15/2000
8/31/2012
Inactive
Nationwide Insurance Company of America
300333
Agent - Casualty
4/1/2011
8/31/2012
Inactive
Nationwide Insurance Company of America
300333
Agent - Property
4/1/2011
8/31/2012
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
6/16/1986
8/31/2012
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
6/16/1986
8/31/2012
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
5/31/2001
1/27/2006
Denied
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
12/7/2004
8/31/2012
Inactive
Nationwide Mutual Fire Insurance Company
301722
Agent - Casualty
8/15/2000
8/31/2012
Inactive
Nationwide Mutual Fire Insurance Company
301722
Agent - General Lines
6/16/1986
8/15/2000
Inactive
Nationwide Mutual Fire Insurance Company
301722
Agent - Property
8/15/2000
8/31/2012
Inactive
Nationwide Mutual Insurance Company
301749
Agent - Casualty
8/15/2000
8/31/2012
Inactive
Nationwide Mutual Insurance Company
301749
Agent - General Lines
6/16/1986
8/15/2000
Inactive
Nationwide Mutual Insurance Company
301749
Agent - Property
8/15/2000
8/31/2012
Inactive
Nationwide Property and Casualty Insurance Company
300599
Agent - Casualty
8/15/2000
8/31/2012
Inactive
Nationwide Property and Casualty Insurance Company
300599
Agent - General Lines
6/16/1986
8/15/2000
Inactive
Nationwide Property and Casualty Insurance Company
300599
Agent - Property
8/15/2000
8/31/2012
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
6/3/2011
10/5/2012
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
6/3/2011
10/5/2012
Inactive
ReliaStar Life Insurance Company
301712
Agent - Variable Life and Variable Annuities
6/3/2011
10/5/2012
Inactive
Security Life of Denver Insurance Company
300648
Agent - Health
6/3/2011
9/29/2012
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
6/3/2011
9/29/2012
Inactive
Security Life of Denver Insurance Company
300648
Agent - Variable Life and Variable Annuities
6/3/2011
9/29/2012
Inactive
Sentinel Insurance Company, Limited
501696
Agent - Casualty
3/2/2011
12/17/2012
Inactive
Sentinel Insurance Company, Limited
501696
Agent - Property
3/2/2011
12/17/2012
Inactive
Union Security Insurance Company
301844
Agent - Health
11/1/2005
1/13/2015
Inactive
Victoria Fire & Casualty Company
300313
Agent - Casualty
2/12/2007
8/31/2012
Inactive
Victoria Fire & Casualty Company
300313
Agent - Property
2/12/2007
8/31/2012
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Arison Insurance Services, Inc.
401001
Agent - Life
11/7/2003
6/21/2008
Inactive
Arison Insurance Services, Inc.
401001
Agent - Health
11/7/2003
6/21/2008
Inactive
Assuredpartners NL, LLC
762387
Agent - Life
2/27/2014
1/23/2015
Inactive
Assuredpartners NL, LLC
762387
Agent - Health
2/27/2014
1/23/2015
Inactive
Assuredpartners NL, LLC
762387
Agent - Property
2/27/2014
1/23/2015
Inactive
Assuredpartners NL, LLC
762387
Agent - Casualty
2/27/2014
1/23/2015
Inactive
Designated Agent Company Inc.
681257
Agent - Life
6/28/2008
11/1/2015
Inactive
Designated Agent Company Inc.
681257
Agent - Health
6/28/2008
11/1/2015
Inactive
Insurors of KY Inc.
398417
Agent - Life
4/30/2012
3/31/2014
Inactive
Insurors of KY Inc.
398417
Agent - Health
4/30/2012
3/31/2014
Inactive
Insurors of KY Inc.
398417
Agent - Property
4/30/2012
3/31/2014
Inactive
Insurors of KY Inc.
398417
Agent - Casualty
4/30/2012
3/31/2014
Inactive
Medlink Inc
400721
Agent - Life
8/3/2009
11/1/2015
Inactive
Medlink Inc
400721
Agent - Health
8/3/2009
11/1/2015
Inactive
Randy Faulkner LLC
725177
Agent - Property
4/1/2010
11/1/2015
Inactive
Randy Faulkner LLC
725177
Agent - Casualty
4/1/2010
11/1/2015
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