DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Randal C	DOIID	569756	NAIC NPN	2158000

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	6/6/2006	12/31/2020
Inactive	Resident	Agent	Life	6/6/2006	12/31/2020
Inactive	Resident	Agent	Property	6/6/2006	12/31/2020
Inactive	Resident	Agent	Casualty	6/6/2006	12/31/2020
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	1/29/2016	1/8/2020
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	1/29/2016	1/8/2020
Inactive	Addison Insurance Company	874810	Agent - Casualty	12/17/2018	12/31/2020
Inactive	Addison Insurance Company	874810	Agent - Property	12/17/2018	12/31/2020
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	6/6/2006	1/29/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	6/6/2006	1/29/2010
Inactive	American Continental Insurance Company	643130	Agent - Health	6/2/2010	2/17/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	6/2/2010	2/17/2014
Inactive	American Economy Insurance Company	300315	Agent - Casualty	12/17/2010	12/31/2020
Inactive	American Economy Insurance Company	300315	Agent - Property	12/17/2010	12/31/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/15/2006	8/31/2007
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/15/2006	8/31/2007
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	12/17/2010	12/31/2020
Inactive	American Fire and Casualty Company	300567	Agent - Property	12/17/2010	12/31/2020
Inactive	American States Insurance Company	301230	Agent - Casualty	12/17/2010	12/31/2020
Inactive	American States Insurance Company	301230	Agent - Property	12/17/2010	12/31/2020
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	12/31/2016	12/31/2020
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	12/31/2016	12/31/2020
Inactive	Ansur America Insurance Company	520667	Agent - Casualty	6/12/2017	2/12/2020
Inactive	Ansur America Insurance Company	520667	Agent - Property	6/12/2017	2/12/2020
Inactive	Athene Annuity and Life Company	301893	Agent - Life	12/14/2010	4/22/2011
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	7/21/2003	10/7/2004
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	7/21/2003	10/7/2004
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	7/17/2009	12/31/2020
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	7/17/2009	9/24/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	12/5/2014
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	5/18/2009	12/31/2020
Inactive	Consolidated Insurance Company	300943	Agent - Property	5/18/2009	12/31/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/2/2007	8/11/2016
Inactive	EMC National Life Company	300388	Agent - Health	6/6/2006	11/18/2016
Inactive	EMC National Life Company	300388	Agent - Life	6/6/2006	11/18/2016
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	2/13/2015	12/31/2020
Inactive	EMCASCO Insurance Company	842790	Agent - Property	2/13/2015	12/31/2020
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	6/6/2006	12/31/2020
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	6/6/2006	12/31/2020
Inactive	Encova Life Insurance Company	301818	Agent - Life	6/6/2006	12/30/2011
Inactive	FFVA Mutual Insurance Company	552456	Agent - Casualty	8/30/2010	4/14/2020
Inactive	First National Insurance Company of America	301690	Agent - Casualty	5/18/2009	12/31/2020
Inactive	First National Insurance Company of America	301690	Agent - Property	5/18/2009	12/31/2020
Inactive	Forethought Life Insurance Company	301407	Agent - Health	12/15/2011	11/14/2014
Inactive	Forethought Life Insurance Company	301407	Agent - Life	12/15/2011	11/14/2014
Inactive	Frankenmuth Insurance Company	301481	Agent - Casualty	6/12/2017	2/12/2020
Inactive	Frankenmuth Insurance Company	301481	Agent - Property	6/12/2017	2/12/2020
Inactive	General Insurance Company of America	300261	Agent - Casualty	5/18/2009	12/31/2020
Inactive	General Insurance Company of America	300261	Agent - Property	5/18/2009	12/31/2020
Inactive	Genworth Life Insurance Company	300623	Agent - Health	5/3/2007	10/30/2013
Inactive	Genworth Life Insurance Company	300623	Agent - Life	5/3/2007	10/30/2013
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	5/3/2007	10/4/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	5/3/2007	10/4/2009
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/15/2015	10/21/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/15/2015	10/21/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	6/6/2006	12/20/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	6/6/2006	12/20/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/19/2013	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/2/2007	8/11/2016
Inactive	Humana Insurance Company	301104	Agent - Health	6/6/2006	8/11/2016
Inactive	Humana Insurance Company	301104	Agent - Life	6/6/2006	8/11/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/18/2010	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/24/2008	12/5/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	5/24/2007	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	5/24/2007	5/13/2013
Inactive	Indiana Insurance Company	301909	Agent - Casualty	5/18/2009	12/31/2020
Inactive	Indiana Insurance Company	301909	Agent - Property	5/18/2009	12/31/2020
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/16/2012	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/16/2012	12/5/2014
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/7/2013	10/29/2015
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	1/2/2013	9/30/2016
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	1/2/2013	9/30/2016
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	12/26/2012	12/31/2020
Inactive	Kentucky National Insurance Company	301625	Agent - Property	12/26/2012	12/31/2020
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/23/2018	3/30/2020
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	5/3/2020	12/31/2020
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	5/18/2009	12/31/2020
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	5/18/2009	12/31/2020
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	12/17/2010	12/31/2020
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	12/17/2010	12/31/2020
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	12/17/2010	12/31/2020
Inactive	Ohio Security Insurance Company	300622	Agent - Property	12/17/2010	12/31/2020
Inactive	Omaha Insurance Company	751908	Agent - Health	11/11/2016	8/8/2018
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	5/18/2009	12/31/2020
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	5/18/2009	12/31/2020
Inactive	Peerless Insurance Company	301910	Agent - Casualty	5/18/2009	12/31/2020
Inactive	Peerless Insurance Company	301910	Agent - Property	5/18/2009	12/31/2020
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	2/2/2004	9/16/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	2/2/2004	9/16/2004
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	5/18/2009	12/31/2020
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	5/18/2009	12/31/2020
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	5/18/2009	12/31/2020
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	5/18/2009	12/31/2020
Inactive	Security Life Insurance Company of America	300936	Agent - Health	10/27/2016	12/31/2016
Inactive	Security Life Insurance Company of America	300936	Agent - Life	10/27/2016	12/31/2016
Inactive	Standard Insurance Company	300185	Agent - Health	5/12/2009	12/31/2013
Inactive	Standard Insurance Company	300185	Agent - Life	5/12/2009	12/31/2013
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	10/14/2016	12/31/2020
Inactive	T.H.E. Insurance Company	301854	Agent - Casualty	2/12/2008	1/19/2012
Inactive	T.H.E. Insurance Company	301854	Agent - Property	2/12/2008	1/19/2012
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	2/13/2015	12/31/2020
Inactive	Union Insurance Company of Providence	842791	Agent - Property	2/13/2015	12/31/2020
Inactive	United Fire & Casualty Company	301374	Agent - Casualty	12/17/2018	12/31/2020
Inactive	United Fire & Casualty Company	301374	Agent - Property	12/17/2018	12/31/2020
Inactive	United World Life Insurance Company	300532	Agent - Health	6/30/2018	10/22/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/10/2006	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/10/2006	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/16/2007	12/15/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/16/2007	12/15/2009
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	10/15/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	10/15/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/15/2015	2/14/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/16/2007	12/15/2009
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	1/10/2007	12/31/2020
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	1/10/2007	12/31/2020
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	1/10/2007	12/2/2013
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	1/10/2007	12/2/2013
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Casualty	10/11/2018	12/31/2020
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Property	10/11/2018	12/31/2020
Inactive	West American Insurance Company	301112	Agent - Casualty	12/17/2010	12/31/2020
Inactive	West American Insurance Company	301112	Agent - Property	12/17/2010	12/31/2020
Inactive	West Bend Insurance Company	672974	Agent - Casualty	11/6/2012	12/31/2020
Inactive	West Bend Insurance Company	672974	Agent - Property	11/6/2012	12/31/2020

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 - Health	12/10/2013	12/31/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/10/2013	12/31/2020
Inactive	Planchoice Inc.	400482	Agent - Health	12/1/2015	12/31/2020
Inactive	Planchoice Inc.	400482	Agent - Life	12/1/2015	12/31/2020
Inactive	Riddle Insurance LLC	401239	Agent - Health	6/6/2006	1/14/2020
Inactive	Riddle Insurance LLC	401239	Agent - Life	6/6/2006	1/14/2020
Inactive	Riddle Insurance LLC	401239	Agent - Casualty	6/14/2006	1/14/2020
Inactive	Riddle Insurance LLC	401239	Agent - Property	6/14/2006	1/14/2020