DEPARTMENT OF INSURANCE

Affiliations

Name	Childers Jr, Frank Randall	DOIID	390690	NAIC NPN	7209157

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Administrator	Not Applicable	3/13/1992		3/31/2027
Active	Resident	Agent	Health	6/28/1984		3/31/2027
Active	Resident	Agent	Life	6/28/1984		3/31/2027
Inactive	Resident	Agent	Prepaid Dental Plan	4/7/1998	3/1/2001
Inactive	Resident	Agent	Health Maintenance Organization	11/10/1997	3/1/2001
Active	Resident	Life & Health Consultant	Not Applicable	5/13/2008		3/31/2027
* 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	ACE American Insurance Company	300625	Agent - Health	1/3/2004	2/26/2007
Inactive	ADENTA, Inc.	301437	Agent - Health	3/1/2001	3/31/2001
Inactive	ADENTA, Inc.	301437	Agent - Prepaid Dental Plan	4/7/1998	3/1/2001
Inactive	Aetna Health Inc.	300694	Agent - Health	12/15/2003	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	9/21/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/23/1999	9/21/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	2/23/1999	9/21/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	4/21/1998	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/21/1998	11/21/2007
Inactive	American Fidelity Assurance Company	301004	Agent - Health	1/1/2015	11/30/2023
Inactive	American Fidelity Assurance Company	301004	Agent - Life	1/1/2015	11/30/2023
Inactive	American General Assurance Company	300586	Agent - Health	7/20/2011	12/31/2012
Inactive	American General Assurance Company	300586	Agent - Life	7/20/2011	12/31/2012
Inactive	American General Life Insurance Company	301585	Agent - Health	12/31/2012	1/4/2017
Inactive	American General Life Insurance Company	301585	Agent - Life	12/31/2012	1/4/2017
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	1/11/2001	2/26/2007
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	1/11/2001	2/26/2007
Inactive	American National Insurance Company	301861	Agent - Health	9/25/2001	5/26/2021
Inactive	American National Insurance Company	301861	Agent - Life	9/25/2001	5/26/2021
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	6/5/2006	6/5/2015
Active	American National Life Insurance Company of Texas	300912	Agent - Life	6/5/2006
Inactive	American United Life Insurance Company	300498	Agent - Health	4/11/1994	9/29/2023
Inactive	American United Life Insurance Company	300498	Agent - Life	4/11/1994	9/29/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/26/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/26/2023	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/26/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/26/2023	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/26/2023	4/15/2025
Inactive	Banner Life Insurance Company	301696	Agent - Life	6/12/2012	8/28/2015
Inactive	C.M. Life Insurance Company	301335	Agent - Health	6/4/1999	5/9/2006
Inactive	C.M. Life Insurance Company	301335	Agent - Life	6/4/1999	5/9/2006
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	1/3/2012
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	1/3/2012
Active	Companion Life Insurance Company	300191	Agent - Health	2/18/2021
Active	Companion Life Insurance Company	300191	Agent - Life	2/18/2021
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/26/2023
Inactive	Delaware Life Insurance Company	301256	Agent - Life	12/31/2003	10/22/2008
Pending Replacement	Dental Care Plus Inc.	301495	Agent - Health	2/27/2006
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	9/8/2010
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	4/13/2021	12/18/2024
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	4/13/2021	12/18/2024
Inactive	First Allmerica Financial Life Insurance Company	301853	Agent - Health	1/25/1993	3/31/1997
Inactive	First Allmerica Financial Life Insurance Company	301853	Agent - Life	1/25/1993	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/1/2005	12/13/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/1/2005	12/14/2018
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	6/2/2016	1/31/2017
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	6/2/2016	1/31/2017
Inactive	HCC Life Insurance Company	301827	Agent - Health	6/19/2007	8/11/2009
Inactive	HCC Life Insurance Company	301827	Agent - Life	6/19/2007	8/11/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	9/8/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	11/10/1997	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	10/1/1997	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Life	10/1/1997	9/8/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Health	12/10/1993	4/13/1998
Inactive	John Alden Life Insurance Company	300573	Agent - Life	12/10/1993	4/13/1998
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	11/17/2006	12/29/2020
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	11/17/2006	12/29/2020
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/18/2004	9/8/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/18/2004	9/8/2010
Inactive	Keyport Life Insurance Company	300319	Agent - Life	1/31/2002	12/31/2003
Denied	Life Insurance Company of the Southwest	301867	Agent - Health
Denied	Life Insurance Company of the Southwest	301867	Agent - Life
Inactive	LifeUSA Insurance Company	300386	Agent - Health	4/21/1998	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	4/21/1998	8/2/2002
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	6/4/1999	5/9/2006
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	6/4/1999	5/9/2006
Inactive	MedAmerica Insurance Company	301568	Agent - Health	7/21/2010	7/10/2013
Active	National Guardian Life Insurance Company	300596	Agent - Health	5/16/2023
Active	National Health Insurance Company	300554	Agent - Health	4/18/2022
Active	National Health Insurance Company	300554	Agent - Life	4/18/2022
Active	Nationwide Life Insurance Company	300495	Agent - Health	1/15/2008
Active	Nationwide Life Insurance Company	300495	Agent - Life	1/15/2008
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	12/11/2003	5/16/2005
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	12/11/2003	6/9/2004
Inactive	Penn Insurance and Annuity Company	300712	Agent - Health	11/8/1984	7/28/2015
Inactive	Penn Insurance and Annuity Company	300712	Agent - Life	11/8/1984	7/28/2015
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Health	6/28/1984	7/28/2015
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Life	6/28/1984	7/28/2015
Inactive	Principal Life Insurance Company	300129	Agent - Health	6/29/1999	12/4/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	6/29/1999	12/4/2008
Inactive	Professional Insurance Company	301281	Agent - Health	5/18/1994	3/31/1997
Inactive	Professional Insurance Company	301281	Agent - Life	5/18/1994	3/31/1997
Inactive	Protective Life Insurance Company	300638	Agent - Health	3/18/1999	12/15/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	3/18/1999	12/15/2003
Inactive	QBE Insurance Corporation	300515	Agent - Health	4/24/2009	3/16/2016
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	1/25/2011
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	1/25/2011
Inactive	SilverScript Insurance Company	663526	Agent - Health	12/6/2010	5/5/2016
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	2/8/2018
Inactive	Time Insurance Company	300683	Agent - Health	3/8/2002	6/18/2009
Inactive	Time Insurance Company	300683	Agent - Life	3/8/2002	6/18/2009
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2008	8/3/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2008	8/3/2011
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	6/29/1999	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	6/29/1999	10/1/2008
Inactive	Union Security Insurance Company	301844	Agent - Health	2/7/2002	11/14/2006
Inactive	Union Security Insurance Company	301844	Agent - Life	2/7/2002	11/14/2006
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/18/2015	2/14/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013	2/10/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013	2/10/2025
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Active	McConnell Insurance Agency Inc.	400140	Agent - Life	9/21/2005
Active	McConnell Insurance Agency Inc.	400140	Agent - Health	9/21/2005
Inactive	New Generation Benefits Partners LLC	819667	Agent - Life	9/5/2013	10/30/2015
Inactive	New Generation Benefits Partners LLC	819667	Agent - Health	9/5/2013	10/30/2015
Inactive	Professional Brokerage Inc	644315	Administrator - Not Applicable	8/19/2008	9/4/2009
Inactive	Professional Brokerage Inc	644315	Agent - Life	9/8/2008	9/4/2009
Inactive	Professional Brokerage Inc	644315	Agent - Health	9/8/2008	9/4/2009
Inactive	Professional Brokerage Inc	644315	Life & Health Consultant - Not Applicable	8/19/2008	8/6/2009
Inactive	Provider Benefit Plans Inc.	401311	Administrator - Not Applicable	8/24/1998	3/31/2010
Inactive	Provider Benefit Plans Inc.	401311	Agent - Life	9/3/1999	3/31/2008
Inactive	Provider Benefit Plans Inc.	401311	Agent - Health	9/3/1999	3/31/2008
Inactive	R.C.H. Administrators, Inc.	401281	Administrator - Not Applicable	7/12/2007	3/31/2010
Inactive	R.C.H. Administrators, Inc.	401281	Agent - Life	8/1/1995	3/31/2010
Inactive	R.C.H. Administrators, Inc.	401281	Agent - Health	8/1/1995	3/31/2010
Active	Risk and Technology Advisors Inc.	580500	Agent - Life	9/28/2005
Active	Risk and Technology Advisors Inc.	580500	Agent - Health	9/28/2005