DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	David, Randall Mark	DOIID	640329	NAIC NPN	8912597

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/19/2006	10/17/2008
Inactive	Non Resident	Agent	Health	9/19/2006	10/17/2008
Inactive	Resident	Apprentice Adjuster	Not Applicable	1/23/2009	1/19/2010
Active	Non Resident	Independent Adjuster	Property & Casualty	2/11/2014		12/31/2026
Inactive	Non Resident	Staff Adjuster	Property & Casualty	1/19/2010	12/31/2012
* 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	American General Life Insurance Company	301585	Agent - Health	4/18/2007	8/8/2008
Inactive	American General Life Insurance Company	301585	Agent - Life	4/18/2007	8/8/2008
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	9/10/2007	10/17/2008
Inactive	Chase Insurance Life Company	301287	Agent - Life	9/27/2006	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	9/27/2006	4/1/2007
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	4/23/2007	10/1/2008
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	4/23/2007	10/1/2008
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	10/17/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Health	4/30/2007	6/13/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Life	4/30/2007	6/13/2008
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	2/20/2008	9/27/2008

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bringardner, Margaret A	305199	Apprentice Adjuster - Not Applicable	1/23/2009	1/19/2010