DEPARTMENT OF INSURANCE
Affiliations
NameRandolph, Jeffry DaleDOIID514997NAIC NPN7214933
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentProperty3/25/2024 1/31/2026
ActiveResidentAgentLife3/25/2024 1/31/2026
ActiveResidentAgentCasualty3/25/2024 1/31/2026
ActiveResidentAgentHealth3/25/2024 1/31/2026
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE Property and Casualty Insurance Company300520Agent - Health10/3/2024 
InactiveAccendo Insurance Company300312Agent - Life10/11/20232/1/2024
ActiveAetna Health Inc. (PA)660717Agent - Health3/28/2024 
InactiveAetna Health and Life Insurance Company300523Agent - Health2/12/20182/1/2020
ActiveAetna Health of Ohio Inc.1065035Agent - Health2/25/2025 
ActiveAetna Life Insurance Company301140Agent - Health3/28/2024 
InactiveAllianz Life Insurance Company of North America301791Agent - Health12/26/200111/21/2007
InactiveAllianz Life Insurance Company of North America301791Agent - Life3/22/202211/18/2022
InactiveAmerican Continental Insurance Company643130Agent - Life2/12/20182/1/2020
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health2/28/20119/5/2011
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life2/28/20119/5/2011
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/20222/1/2024
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health3/1/20222/1/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/20212/1/2024
InactiveAnthem Life Insurance Company301209Agent - Health5/31/20172/1/2020
InactiveAnthem Life Insurance Company301209Agent - Life5/31/20172/1/2020
InactiveArcadian Health Plan, Inc.728196Agent - Health10/1/20207/31/2023
InactiveAthene Annuity and Life Company301893Agent - Life7/21/20201/25/2022
InactiveBankers Fidelity Assurance Company554627Agent - Health2/7/20192/1/2020
InactiveBankers Fidelity Assurance Company554627Agent - Life2/7/20192/1/2020
InactiveBankers Fidelity Life Insurance Company300193Agent - Health2/7/20192/1/2020
InactiveBankers Fidelity Life Insurance Company300193Agent - Life2/7/20192/1/2020
InactiveBankers Life and Casualty Company300701Agent - Health6/18/20239/18/2023
InactiveBankers Life and Casualty Company300701Agent - Life6/18/20239/18/2023
InactiveBanner Life Insurance Company301696Agent - Life1/25/20118/9/2013
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/20222/21/2023
InactiveCentral States Health and Life Company of Omaha301874Agent - Health11/25/200212/16/2004
InactiveCentral States Health and Life Company of Omaha301874Agent - Life11/25/200212/16/2004
InactiveColonial Penn Life Insurance Company300491Agent - Health6/18/20239/18/2023
InactiveColonial Penn Life Insurance Company300491Agent - Life6/18/20239/18/2023
InactiveColumbus Life Insurance Company301227Agent - Life2/6/20192/1/2020
InactiveCombined Insurance Company of America301472Agent - Health5/17/20108/19/2010
InactiveCombined Insurance Company of America301472Agent - Life5/17/20108/19/2010
ActiveCompBenefits Insurance Company301864Agent - Health7/22/2024 
InactiveCompcare Health Services Insurance Corporation948751Agent - Health3/1/20222/1/2024
InactiveContinental Casualty Company301019Agent - Health1/22/200211/29/2004
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health2/12/20182/1/2020
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life7/7/201710/6/2017
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Health11/3/200812/20/2012
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life5/13/20202/1/2024
InactiveGenworth Life Insurance Company300623Agent - Health5/11/200512/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life5/11/200512/7/2012
InactiveGuarantee Trust Life Insurance Company301043Agent - Health5/7/20192/1/2020
InactiveGuarantee Trust Life Insurance Company301043Agent - Life5/7/20192/1/2020
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/1/202012/13/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/1/202012/13/2022
InactiveHumana Health Plan, Inc.300142Agent - Health10/15/20143/23/2016
ActiveHumana Insurance Company301104Agent - Health4/2/2024 
InactiveHumana Insurance Company301104Agent - Life10/15/20143/23/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/15/20143/23/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Life10/15/20143/23/2016
InactiveHumana Medical Plan, Inc.801568Agent - Health10/1/202012/13/2022
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/1/202012/13/2022
InactiveIllinois Mutual Life Insurance Company301479Agent - Health4/8/20107/6/2010
InactiveIllinois Mutual Life Insurance Company301479Agent - Life4/8/20107/6/2010
InactiveJackson National Life Insurance Company300486Agent - Life12/15/200311/30/2006
InactiveKanawha Insurance Company300127Agent - Health11/4/201411/3/2015
InactiveKanawha Insurance Company300127Agent - Life11/4/201411/3/2015
InactiveMetropolitan Life Insurance Company301948Agent - Health8/29/200811/26/2009
InactiveMetropolitan Life Insurance Company301948Agent - Life8/29/200811/26/2009
InactiveModern Woodmen of America301213Agent - Life11/14/20003/25/2019
InactiveMutual of Omaha Insurance Company301012Agent - Health12/18/20185/21/2019
InactiveNational General Insurance Company300152Agent - Casualty2/5/20048/25/2005
InactiveNational General Insurance Company300152Agent - Property2/5/20048/25/2005
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health10/6/202012/12/2022
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life10/6/202012/12/2022
InactiveOmaha Insurance Company751908Agent - Health11/5/201212/23/2013
InactivePavonia Insurance Company of Delaware602103Agent - Casualty10/3/20062/21/2007
InactivePavonia Insurance Company of Delaware602103Agent - Property10/3/20062/21/2007
InactivePruco Life Insurance Company300954Agent - Health2/18/201112/23/2014
InactivePruco Life Insurance Company300954Agent - Life2/18/201112/23/2014
InactiveRevol One Insurance Company300681Agent - Health8/1/20052/21/2007
InactiveRevol One Insurance Company300681Agent - Life8/1/20052/21/2007
InactiveRoyal Neighbors of America301646Agent - Life9/10/20202/1/2024
ActiveSilverScript Insurance Company663526Agent - Health3/28/2024 
ActiveTier One Insurance Company301056Agent - Health9/18/2024 
ActiveTier One Insurance Company301056Agent - Life9/18/2024 
InactiveUnited Home Life Insurance Company300421Agent - Life9/14/201411/13/2015
InactiveUnited National Life Insurance Company844837Agent - Health10/2/20192/1/2020
InactiveUnited National Life Insurance Company844837Agent - Life10/2/20192/1/2020
InactiveUnited World Life Insurance Company300532Agent - Health2/9/20216/22/2022
InactiveUnited of Omaha Life Insurance Company300156Agent - Health6/6/201112/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life6/6/201112/26/2012
InactiveUnitedHealthcare Insurance Company300946Agent - Health10/13/20202/21/2023
InactiveUnitedHealthcare Insurance Company300946Agent - Life10/20/20172/1/2020
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health10/13/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health10/13/202012/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health10/20/20174/30/2018
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health10/13/20202/21/2023
InactiveWashington National Insurance Company300587Agent - Health6/18/20239/18/2023
InactiveWashington National Insurance Company300587Agent - Life6/18/20239/18/2023
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/15/202112/30/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health4/14/202112/29/2021
InactiveWesco Insurance Company300534Agent - Casualty8/1/20052/21/2007
InactiveWesco Insurance Company300534Agent - Property8/1/20052/21/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life5/31/20172/1/2020
InactiveDesignated Agent Company Inc.681257Agent - Health5/31/20172/1/2020
InactiveMWAGIA, Inc549166Agent - Life2/28/20052/1/2020
InactiveMWAGIA, Inc549166Agent - Health2/28/20055/23/2016
InactiveMedlink Inc400721Agent - Life2/13/20032/1/2020
InactiveMedlink Inc400721Agent - Health2/13/20035/23/2016

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