DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Randall, Matthew Michael	DOIID	815923	NAIC NPN	8576779

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/30/2013	5/31/2017
Inactive	Non Resident	Agent	Health	7/30/2013	5/31/2017
* 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	Anthem Life Insurance Company	301209	Agent - Health	10/21/2013	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/21/2013	11/3/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/27/2014	4/16/2016
Inactive	Humana Insurance Company	301104	Agent - Health	6/27/2014	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	6/27/2014	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/27/2014	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/27/2014	11/3/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/25/2013	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/25/2013	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/25/2013	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/25/2013	12/1/2016

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 - Life	10/21/2013	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/21/2013	11/2/2016
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	10/21/2013	3/31/2016
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	10/21/2013	3/31/2016