DEPARTMENT OF INSURANCE

Affiliations

Name	Gray, Randall	DOIID	378388	NAIC NPN	1890194

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	6/2/2009	1/1/2018
Inactive	Resident	Agent	Life	6/2/2009	1/1/2018
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	2/22/2016	4/24/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/22/2016	4/24/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	2/22/2016	4/24/2017
Inactive	American Memorial Life Insurance Company	301445	Agent - Life	5/10/2010	12/19/2011
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	12/31/2016	1/1/2018
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	12/31/2016	1/1/2018
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/13/2014	1/1/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/20/2011	1/1/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/20/2011	1/1/2018
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	12/28/2009	5/8/2013
Inactive	Banner Life Insurance Company	301696	Agent - Life	2/7/2012	8/21/2014
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	8/24/2015	12/14/2016
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	8/24/2015	12/14/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/17/2015	3/29/2017
Inactive	Conseco Health Insurance Company	301725	Agent - Health	7/13/2010	10/1/2010
Inactive	Conseco Health Insurance Company	301725	Agent - Life	7/13/2010	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Health	7/13/2010	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	7/13/2010	10/1/2010
Inactive	Dental Care Plus Inc.	301495	Agent - Health	10/12/2015	1/1/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/17/2015	3/29/2017
Inactive	Encova Life Insurance Company	301818	Agent - Life	9/3/2009	7/27/2010
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	2/22/2016	4/24/2017
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/19/2012	1/7/2014
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/19/2012	1/7/2014
Inactive	Gerber Life Insurance Company	300529	Agent - Health	4/5/2010	10/28/2010
Inactive	Gerber Life Insurance Company	300529	Agent - Life	4/5/2010	10/28/2010
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/8/2015	1/4/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/8/2015	1/4/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/17/2015	3/29/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/17/2015	3/29/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/17/2015	3/29/2017
Inactive	Humana Insurance Company	301104	Agent - Health	9/17/2015	3/29/2017
Inactive	Humana Insurance Company	301104	Agent - Life	9/17/2015	3/29/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/17/2015	3/29/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/17/2015	3/29/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/17/2015	3/29/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	3/29/2017
Inactive	Independent Order of Foresters	300743	Agent - Life	1/11/2010	12/20/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/17/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/17/2015	10/22/2015
Inactive	Marquette National Life Insurance Company	300117	Agent - Health	2/1/2010	10/7/2010
Inactive	Marquette National Life Insurance Company	300117	Agent - Life	2/1/2010	10/7/2010
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	2/1/2010	10/7/2010
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	2/1/2010	10/7/2010
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	2/1/2010	10/7/2010
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Life	2/1/2010	10/7/2010
Inactive	Protective Life Insurance Company	300638	Agent - Health	11/14/2014	11/23/2017
Inactive	Protective Life Insurance Company	300638	Agent - Life	11/14/2014	11/23/2017
Inactive	Pruco Life Insurance Company	300954	Agent - Life	11/25/2014	12/22/2016
Inactive	Royal Neighbors of America	301646	Agent - Life	8/19/2015	11/24/2016
Inactive	Security Life Insurance Company of America	300936	Agent - Health	1/21/2016	12/31/2016
Inactive	Security Life Insurance Company of America	300936	Agent - Life	1/21/2016	12/31/2016
Inactive	Sterling Investors Life Insurance Company	301785	Agent - Health	4/12/2011	12/28/2012
Inactive	Sterling Investors Life Insurance Company	301785	Agent - Life	4/12/2011	12/28/2012
Inactive	Texas Life Insurance Company	300345	Agent - Life	11/22/2009	12/21/2009
Inactive	Time Insurance Company	300683	Agent - Health	6/26/2009	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	6/26/2009	12/20/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/14/2010	3/4/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/1/2009	12/17/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/1/2009	12/17/2012
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/8/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/8/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/8/2015	2/14/2017
Inactive	Washington National Insurance Company	300587	Agent - Health	10/1/2010	8/1/2011
Inactive	Washington National Insurance Company	300587	Agent - Life	10/1/2010	8/1/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	12/16/2015	1/1/2018
Inactive	CBISA Reaquisitian Corp	547026	Agent - Life	12/16/2015	1/1/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	1/20/2011	1/1/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Life	1/20/2011	1/1/2018