DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mason, Randall Scott	DOIID	877286	NAIC NPN	17471708

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/30/2017	10/31/2018
Inactive	Non Resident	Agent	Life	5/7/2015	10/31/2018
* 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	Gerber Life Insurance Company	300529	Agent - Life	5/14/2015	4/10/2018
Inactive	New York Life Insurance Company	300431	Agent - Life	4/17/2017	9/11/2018
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	4/17/2017	9/11/2018
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/19/2015	3/22/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	5/29/2015	6/23/2015