DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Klein, Randy H	DOIID	609396	NAIC NPN	520533

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/27/2005	11/30/2011
Inactive	Non Resident	Agent	Health	5/27/2005	11/30/2011
* 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	Anthem Life Insurance Company	301209	Agent - Health	11/19/2007	11/4/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/19/2007	11/4/2010
Inactive	CHA HMO, Inc.	300662	Agent - Health	6/20/2005	11/30/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Health	3/23/2011	11/30/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	3/23/2011	11/30/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/23/2011	11/30/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	11/28/2007	11/16/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	11/28/2007	11/16/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/31/2006	11/30/2011
Inactive	Humana Insurance Company	301104	Agent - Health	7/31/2006	11/30/2011
Inactive	Humana Insurance Company	301104	Agent - Life	7/31/2006	11/30/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/31/2006	11/30/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/31/2006	11/30/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/28/2009	11/30/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/28/2009	11/30/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/18/2008	11/30/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/18/2008	11/30/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	11/19/2007	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	11/19/2007	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/30/2008	4/27/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/30/2008	4/27/2011
Inactive	Medlink Inc	400721	Agent - Life	12/21/2007	11/30/2011
Inactive	Medlink Inc	400721	Agent - Health	12/21/2007	11/30/2011