DEPARTMENT OF INSURANCE

Affiliations

Name	Maki, Randy	DOIID	723065	NAIC NPN	15666903

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	7/14/2010	12/1/2012
Inactive	Resident	Agent	Health	2/23/2010	12/1/2012
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/8/2010	12/1/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/8/2010	12/1/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/8/2010	12/1/2012
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/23/2010	3/10/2011
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	8/2/2010	6/10/2011
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	7/20/2010	2/23/2012
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	7/21/2010	2/23/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/21/2011	12/1/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/21/2011	12/1/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Health	11/16/2011	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	11/16/2011	12/26/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/21/2011	12/1/2012
Inactive	Humana Insurance Company	301104	Agent - Health	11/17/2011	12/1/2012
Inactive	Humana Insurance Company	301104	Agent - Life	11/17/2011	12/1/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/21/2011	12/1/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/21/2011	12/1/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/23/2011	12/26/2012
Inactive	Prudential Insurance Company of America	300784	Agent - Health	1/9/2012	12/1/2012
Inactive	Prudential Insurance Company of America	300784	Agent - Life	1/9/2012	12/1/2012
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	10/1/2010	11/23/2011
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	10/1/2010	11/23/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	12/16/2011	12/1/2012
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	6/4/2012	12/1/2012
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	6/4/2012	12/1/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/23/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/23/2011	12/26/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fundamental Insurance and Retirement Planning	675147	Agent - Health	12/15/2011	12/1/2012
Inactive	Fundamental Insurance and Retirement Planning	675147	Agent - Life	12/15/2011	12/1/2012