DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Randall, Derrye Leonard	DOIID	713124	NAIC NPN	14860484

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/9/2009	9/30/2017
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	7/25/2012	9/30/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/25/2012	9/30/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/20/2012	4/16/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/7/2010	7/12/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/20/2012	4/16/2014
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Health	10/25/2012	9/23/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	4/16/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/20/2012	4/16/2014
Inactive	Humana Insurance Company	301104	Agent - Health	7/20/2012	4/16/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/20/2012	4/16/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/16/2011	2/24/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/17/2009	7/12/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	9/21/2013	11/22/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/15/2012	6/24/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/22/2012	7/21/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/22/2012	12/5/2016

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	7/24/2012	9/9/2013
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	3/17/2010	7/12/2012
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	4/19/2016	4/25/2017