DEPARTMENT OF INSURANCE

Name	Collins, Randy Lee	DOIID	362637	NAIC NPN	7197050

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	8/9/2022		4/30/2026
Active	Resident	Agent	Property	8/9/2022		4/30/2026
Active	Resident	Agent	Life	8/9/2022		4/30/2026
Active	Resident	Agent	Casualty	8/9/2022		4/30/2026
Denied	Resident	Agent	Personal Lines
Inactive	Resident	Agent	General Lines	7/27/1983	8/15/2000
Inactive	Resident	Agent	Health Maintenance Organization	5/1/2000	3/1/2001

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	402 Stivers Ln London, KY 40741

Phone Information

Type	Phone
Business / Home Office	(606) 682-2265