DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rose, Randi	DOIID	619888	NAIC NPN	8584479

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/13/2021		9/30/2025
Active	Non Resident	Independent Adjuster	Property & Casualty	4/28/2021		9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2025	09/30/2025
Independent Adjuster	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	1/22/2021	7/9/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/22/2021	7/9/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/22/2021	7/9/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	1/22/2021	7/9/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/17/2021	3/8/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	1/17/2021	3/8/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/17/2021	3/8/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/17/2021	3/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	2/10/2021	2/19/2021