DEPARTMENT OF INSURANCE
Affiliations
NameCouch, Randy DOIID373064NAIC NPN7201532
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth4/17/20159/1/2022 
InactiveResidentAgentLife3/20/20159/1/2022 
InactiveResidentAgentVariable Life and Variable Annuities12/2/20159/1/2022 
* 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
InactiveForethought Life Insurance Company301407Agent - Health9/12/20169/1/2022
InactiveForethought Life Insurance Company301407Agent - Life9/12/20169/1/2022
InactiveForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities9/12/20169/1/2022
InactiveJackson National Life Insurance Company300486Agent - Life12/30/20156/28/2021
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities12/30/20156/28/2021
InactiveState Life Insurance Company301497Agent - Health12/15/20159/1/2022
InactiveState Life Insurance Company301497Agent - Life12/15/20159/1/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFifth Third Insurance Agency Inc399341Agent - Life12/30/20159/1/2022
InactiveFifth Third Insurance Agency Inc399341Agent - Health12/15/20159/1/2022
InactiveFifth Third Insurance Agency Inc399341Agent - Variable Life and Variable Annuities12/30/20159/1/2022

© Commonwealth of Kentucky. All rights reserved.