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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Independent Adjuster	10/15/2026	12/31/2026

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