DEPARTMENT OF INSURANCE
Affiliations
NameShort, Randall EDOIID504836NAIC NPN1499156
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth3/30/2018 10/31/2024
ActiveNon ResidentAgentVariable Life and Variable Annuities3/30/2018 10/31/2024
ActiveNon ResidentAgentLife3/30/2018 10/31/2024
* 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.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202410/31/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health5/14/2020 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health5/14/2020 
ActiveAmerican-Amicable Life Insurance Co. of Texas300257Agent - Life11/6/2020 
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life10/14/20208/12/2021
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health9/9/2021 
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health10/27/2021 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/9/2021 
InactiveAnthem Life Insurance Company301209Agent - Health5/8/202012/10/2020
InactiveAnthem Life Insurance Company301209Agent - Life2/1/202012/10/2020
ActiveArcadian Health Plan, Inc.728196Agent - Health2/22/2021 
InactiveBanner Life Insurance Company301696Agent - Life8/13/200310/31/2010
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/2022 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health10/27/2021 
InactiveConseco Insurance Company301202Agent - Health3/31/200510/1/2010
InactiveConseco Insurance Company301202Agent - Life3/31/200510/1/2010
InactiveEquitable Financial Life Insurance Company of America301772Agent - Health11/7/200211/7/2003
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life11/7/200211/7/2003
InactiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities11/7/200211/7/2003
InactiveFortitude Life Insurance & Annuity Company301503Agent - Health3/28/200710/31/2010
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life3/28/200710/31/2010
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities3/28/200710/31/2010
InactiveGeneral American Life Insurance Company300280Agent - Health6/7/20018/30/2004
InactiveGeneral American Life Insurance Company300280Agent - Life6/7/20018/30/2004
InactiveGeneral American Life Insurance Company300280Agent - Variable Life and Variable Annuities6/7/20018/30/2004
ActiveGuarantee Trust Life Insurance Company301043Agent - Health10/27/2021 
ActiveGuarantee Trust Life Insurance Company301043Agent - Life10/27/2021 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health1/15/2021 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health4/20/2021 
ActiveHumana Insurance Company301104Agent - Health10/30/2020 
ActiveHumana Medical Plan, Inc.801568Agent - Health10/13/2021 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/29/2021 
InactiveJackson National Life Insurance Company300486Agent - Life4/24/20197/1/2020
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities4/24/20197/1/2020
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health10/23/200710/31/2010
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life10/23/200710/31/2010
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities10/23/200710/31/2010
InactiveMONY Life Insurance Company301141Agent - Health11/7/200211/7/2003
InactiveMONY Life Insurance Company301141Agent - Life11/7/200211/7/2003
InactiveMONY Life Insurance Company301141Agent - Variable Life and Variable Annuities11/7/200211/7/2003
InactiveNational Western Life Insurance Company301515Agent - Health2/28/20056/22/2006
InactiveNational Western Life Insurance Company301515Agent - Life2/28/20056/22/2006
InactiveNew England Life Insurance Company300343Agent - Health10/2/20008/30/2004
InactiveNew England Life Insurance Company300343Agent - Life10/2/20008/30/2004
InactiveNew England Life Insurance Company300343Agent - Variable Life and Variable Annuities5/31/20018/30/2004
InactiveNew York Life Insurance Company300431Agent - Health3/13/20147/10/2014
InactiveNew York Life Insurance Company300431Agent - Life3/13/20147/10/2014
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Health3/13/20147/10/2014
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life3/13/20147/10/2014
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities3/13/20147/10/2014
InactiveProvident Life and Accident Insurance Company301525Agent - Health8/21/200312/30/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Life8/21/200312/30/2009
InactiveReliaStar Life Insurance Company301712Agent - Life1/19/20068/11/2006
InactiveReliaStar Life Insurance Company301712Agent - Variable Life and Variable Annuities1/19/20068/11/2006
InactiveSecurity Mutual Life Insurance Company of NY300708Agent - Health8/28/20033/22/2005
InactiveSecurity Mutual Life Insurance Company of NY300708Agent - Life8/28/20033/22/2005
ActiveSilverScript Insurance Company663526Agent - Health5/14/2020 
InactiveUNUM Life Insurance Company of America300817Agent - Health8/21/200312/30/2009
InactiveUNUM Life Insurance Company of America300817Agent - Life8/21/200312/30/2009
InactiveUnited Home Life Insurance Company300421Agent - Life10/11/20205/25/2022
ActiveUnitedHealthcare Insurance Company300946Agent - Health2/5/2020 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health2/5/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health2/5/202012/23/2021
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health2/5/2020 
InactiveVenerable Insurance and Annuity Company301006Agent - Life4/23/20038/27/2008
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities4/23/20038/27/2008
InactiveWashington National Insurance Company300587Agent - Health10/1/201012/28/2010
InactiveWashington National Insurance Company300587Agent - Life10/1/201012/28/2010
InactiveWestern and Southern Life Insurance Company301744Agent - Health4/5/20182/20/2019
InactiveWestern and Southern Life Insurance Company301744Agent - Life4/5/20182/20/2019
InactiveWestern-Southern Life Assurance Company301590Agent - Health4/5/20182/20/2019
InactiveWestern-Southern Life Assurance Company301590Agent - Life4/5/20182/20/2019
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life4/27/20056/23/2008
InactiveArison Insurance Services, Inc.401001Agent - Health4/27/20056/23/2008
InactiveDesignated Agent Company Inc.681257Agent - Life2/3/202012/13/2020
InactiveDesignated Agent Company Inc.681257Agent - Health2/5/202012/13/2020

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