DEPARTMENT OF INSURANCE

Affiliations

Name	Shore, Randall Jay	DOIID	739510	NAIC NPN	15365178

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	4/6/2015	4/30/2024
Inactive	Non Resident	Agent	Health	10/12/2010	4/30/2024
* 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	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	7/2/2015	4/14/2016
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/4/2014	11/2/2016
Inactive	C.M. Life Insurance Company	301335	Agent - Life	8/31/2015	4/18/2018
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	7/11/2021	2/1/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/2/2010	5/28/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/11/2011	5/28/2015
Inactive	Gerber Life Insurance Company	300529	Agent - Health	5/13/2015	12/8/2016
Inactive	Gerber Life Insurance Company	300529	Agent - Life	5/13/2015	12/8/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	5/19/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	5/19/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/2/2010	5/19/2016
Inactive	Humana Insurance Company	301104	Agent - Health	11/2/2010	5/19/2016
Inactive	Humana Insurance Company	301104	Agent - Life	4/10/2015	5/19/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/2/2010	5/19/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/10/2015	5/19/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	5/19/2016
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Health	1/6/2015	11/21/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/11/2011	5/28/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/10/2015	5/28/2015
Inactive	Lumico Life Insurance Company	300354	Agent - Health	11/29/2018	6/6/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Life	11/29/2018	6/6/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/15/2018	1/23/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/15/2018	1/23/2023

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	4/4/2014	11/2/2016
Inactive	Trubridge Inc	717747	Agent - Health	2/2/2016	12/8/2016
Inactive	Trubridge Inc	717747	Agent - Life	2/2/2016	12/5/2022