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DEPARTMENT OF INSURANCE
Affiliations
Name
Fath, Randall E
DOIID
349256
NAIC NPN
2759224
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health Maintenance Organization
8/25/1988
3/1/2001
Inactive
Non Resident
Agent
Life
4/13/2014
1/31/2016
Inactive
Non Resident
Agent
Health
4/13/2014
1/31/2016
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
4/13/2014
1/31/2016
* 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
Aetna Health Inc.
300694
Agent - Health
7/8/2000
12/31/2007
Inactive
Aetna Health Inc. (PA)
660717
Agent - Health
12/31/2007
7/8/2010
Inactive
Aetna Life Insurance Company
301140
Agent - Health
7/28/2000
7/8/2010
Inactive
Aetna Life Insurance Company
301140
Agent - Life
7/28/2000
7/8/2010
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
2/8/2005
11/20/2007
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
2/8/2005
11/20/2007
Inactive
American United Life Insurance Company
300498
Agent - Health
7/15/2013
1/31/2014
Inactive
American United Life Insurance Company
300498
Agent - Life
7/15/2013
1/31/2014
Inactive
American United Life Insurance Company
300498
Agent - Variable Life and Variable Annuities
7/19/2013
1/31/2014
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Health
4/1/1996
6/27/1997
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Life
4/1/1996
6/27/1997
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
3/1/2001
4/1/2002
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health Maintenance Organization
8/25/1988
3/1/2001
Inactive
Athene Annuity and Life Company
301893
Agent - Health
8/15/1988
3/30/1998
Inactive
Athene Annuity and Life Company
301893
Agent - Life
6/8/2011
1/8/2014
Inactive
Banner Life Insurance Company
301696
Agent - Life
3/7/2013
1/31/2014
Inactive
Colonial Life and Accident Insurance Company
300846
Agent - Health
3/31/2000
10/27/2006
Inactive
Colonial Life and Accident Insurance Company
300846
Agent - Life
3/31/2000
10/27/2006
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
7/30/2015
12/8/2015
Inactive
Connecticut General Life Insurance Company
301333
Agent - Health
8/18/1998
5/15/2006
Inactive
Connecticut General Life Insurance Company
301333
Agent - Life
8/18/1998
5/15/2006
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
7/30/2015
12/8/2015
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Health
5/4/1999
12/18/2000
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Life
5/4/1999
12/18/2000
Inactive
First Colony Life Insurance Company
301179
Agent - Life
5/20/2005
1/1/2007
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
4/6/2000
12/23/2008
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
4/6/2000
12/23/2008
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
1/1/2007
12/4/2007
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
3/11/2013
2/10/2014
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
7/30/2015
12/8/2015
Inactive
Humana Health Plan, Inc.
300142
Agent - Health Maintenance Organization
10/29/1996
3/1/2001
Inactive
Humana Insurance Company
301104
Agent - Health
7/30/2015
12/8/2015
Inactive
Humana Insurance Company
301104
Agent - Life
7/30/2015
12/8/2015
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
7/30/2015
12/8/2015
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
7/30/2015
12/8/2015
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
8/28/2006
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
8/28/2006
7/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Health
8/28/2006
4/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Life
8/28/2006
4/2/2007
Inactive
Kanawha Insurance Company
300127
Agent - Health
7/30/2015
10/22/2015
Inactive
Kanawha Insurance Company
300127
Agent - Life
7/30/2015
10/22/2015
Inactive
Lincoln Benefit Life Company
301110
Agent - Health
5/4/2000
6/26/2003
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
5/4/2000
6/26/2003
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
8/15/1994
8/7/2013
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
8/15/1994
8/7/2013
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
5/31/2001
8/7/2013
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
1/3/2001
12/18/2012
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
1/3/2001
12/18/2012
Inactive
Pioneer Mutual Life Insurance Company
501695
Agent - Health
7/15/2013
1/31/2014
Inactive
Pioneer Mutual Life Insurance Company
501695
Agent - Life
7/15/2013
1/31/2014
Inactive
Prudential Health Care Plan Inc.
301342
Agent - Health
3/1/2001
5/21/2003
Inactive
Prudential Health Care Plan Inc.
301342
Agent - Health Maintenance Organization
4/29/1997
3/1/2001
Inactive
Prudential Insurance Company of America
300784
Agent - Health
4/21/1997
12/17/2004
Inactive
Prudential Insurance Company of America
300784
Agent - Life
4/21/1997
12/17/2004
Inactive
State Life Insurance Company
301497
Agent - Health
11/29/2012
1/31/2014
Inactive
State Life Insurance Company
301497
Agent - Life
11/29/2012
1/31/2014
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
3/3/2000
5/10/2001
Inactive
Arison Insurance Services, Inc.
401001
Agent - Health
3/3/2000
5/10/2001
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