DEPARTMENT OF INSURANCE
Affiliations
NameRandolph, Jeffry DaleDOIID514997NAIC NPN7214933
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentProperty3/25/2024 1/31/2026
ActiveResidentAgentLife3/25/2024 1/31/2026
ActiveResidentAgentCasualty3/25/2024 1/31/2026
ActiveResidentAgentHealth3/25/2024 1/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent11/15/202501/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE Property and Casualty Insurance Company300520Agent - Health10/3/2024 
InactiveAccendo Insurance Company300312Agent - Life10/11/20232/1/2024
ActiveAetna Health Inc. (PA)660717Agent - Health3/28/2024 
InactiveAetna Health and Life Insurance Company300523Agent - Health2/12/20182/1/2020
ActiveAetna Health of Ohio Inc.1065035Agent - Health2/25/2025 
ActiveAetna Life Insurance Company301140Agent - Health3/28/2024 
InactiveAllianz Life Insurance Company of North America301791Agent - Health12/26/200111/21/2007
InactiveAllianz Life Insurance Company of North America301791Agent - Life3/22/202211/18/2022
InactiveAmerican Continental Insurance Company643130Agent - Life2/12/20182/1/2020
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health2/28/20119/5/2011
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life2/28/20119/5/2011
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/20222/1/2024
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health3/1/20222/1/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/20212/1/2024
InactiveAnthem Life Insurance Company301209Agent - Health5/31/20172/1/2020
InactiveAnthem Life Insurance Company301209Agent - Life5/31/20172/1/2020
InactiveArcadian Health Plan, Inc.728196Agent - Health10/1/20207/31/2023
InactiveAthene Annuity and Life Company301893Agent - Life7/21/20201/25/2022
InactiveBankers Fidelity Assurance Company554627Agent - Health2/7/20192/1/2020
InactiveBankers Fidelity Assurance Company554627Agent - Life2/7/20192/1/2020
InactiveBankers Fidelity Life Insurance Company300193Agent - Health2/7/20192/1/2020
InactiveBankers Fidelity Life Insurance Company300193Agent - Life2/7/20192/1/2020
InactiveBankers Life and Casualty Company300701Agent - Health6/18/20239/18/2023
InactiveBankers Life and Casualty Company300701Agent - Life6/18/20239/18/2023
InactiveBanner Life Insurance Company301696Agent - Life1/25/20118/9/2013
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/20222/21/2023
InactiveCentral States Health and Life Company of Omaha301874Agent - Health11/25/200212/16/2004
InactiveCentral States Health and Life Company of Omaha301874Agent - Life11/25/200212/16/2004
InactiveColonial Penn Life Insurance Company300491Agent - Health6/18/20239/18/2023
InactiveColonial Penn Life Insurance Company300491Agent - Life6/18/20239/18/2023
InactiveColumbus Life Insurance Company301227Agent - Life2/6/20192/1/2020
InactiveCombined Insurance Company of America301472Agent - Health5/17/20108/19/2010
InactiveCombined Insurance Company of America301472Agent - Life5/17/20108/19/2010
ActiveCompBenefits Insurance Company301864Agent - Health7/22/2024 
InactiveCompcare Health Services Insurance Corporation948751Agent - Health3/1/20222/1/2024
InactiveContinental Casualty Company301019Agent - Health1/22/200211/29/2004
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health2/12/20182/1/2020
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life7/7/201710/6/2017
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Health11/3/200812/20/2012
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life5/13/20202/1/2024
InactiveGenworth Life Insurance Company300623Agent - Health5/11/200512/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life5/11/200512/7/2012
InactiveGuarantee Trust Life Insurance Company301043Agent - Health5/7/20192/1/2020
InactiveGuarantee Trust Life Insurance Company301043Agent - Life5/7/20192/1/2020
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/1/202012/13/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/1/202012/13/2022
InactiveHumana Health Plan, Inc.300142Agent - Health10/15/20143/23/2016
ActiveHumana Insurance Company301104Agent - Health4/2/2024 
InactiveHumana Insurance Company301104Agent - Life10/15/20143/23/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/15/20143/23/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Life10/15/20143/23/2016
InactiveHumana Medical Plan, Inc.801568Agent - Health10/1/202012/13/2022
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/1/202012/13/2022
InactiveIllinois Mutual Life Insurance Company301479Agent - Health4/8/20107/6/2010
InactiveIllinois Mutual Life Insurance Company301479Agent - Life4/8/20107/6/2010
InactiveJackson National Life Insurance Company300486Agent - Life12/15/200311/30/2006
InactiveKanawha Insurance Company300127Agent - Health11/4/201411/3/2015
InactiveKanawha Insurance Company300127Agent - Life11/4/201411/3/2015
InactiveMetropolitan Life Insurance Company301948Agent - Health8/29/200811/26/2009
InactiveMetropolitan Life Insurance Company301948Agent - Life8/29/200811/26/2009
InactiveModern Woodmen of America301213Agent - Life11/14/20003/25/2019
InactiveMutual of Omaha Insurance Company301012Agent - Health12/18/20185/21/2019
InactiveNational General Insurance Company300152Agent - Casualty2/5/20048/25/2005
InactiveNational General Insurance Company300152Agent - Property2/5/20048/25/2005
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health10/6/202012/12/2022
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life10/6/202012/12/2022
InactiveOmaha Insurance Company751908Agent - Health11/5/201212/23/2013
InactivePavonia Insurance Company of Delaware602103Agent - Casualty10/3/20062/21/2007
InactivePavonia Insurance Company of Delaware602103Agent - Property10/3/20062/21/2007
InactivePruco Life Insurance Company300954Agent - Health2/18/201112/23/2014
InactivePruco Life Insurance Company300954Agent - Life2/18/201112/23/2014
InactiveRevol One Insurance Company300681Agent - Health8/1/20052/21/2007
InactiveRevol One Insurance Company300681Agent - Life8/1/20052/21/2007
InactiveRoyal Neighbors of America301646Agent - Life9/10/20202/1/2024
ActiveSilverScript Insurance Company663526Agent - Health3/28/2024 
ActiveTier One Insurance Company301056Agent - Health9/18/2024 
ActiveTier One Insurance Company301056Agent - Life9/18/2024 
InactiveUnited Home Life Insurance Company300421Agent - Life9/14/201411/13/2015
InactiveUnited National Life Insurance Company844837Agent - Health10/2/20192/1/2020
InactiveUnited National Life Insurance Company844837Agent - Life10/2/20192/1/2020
InactiveUnited World Life Insurance Company300532Agent - Health2/9/20216/22/2022
InactiveUnited of Omaha Life Insurance Company300156Agent - Health6/6/201112/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life6/6/201112/26/2012
InactiveUnitedHealthcare Insurance Company300946Agent - Health10/13/20202/21/2023
InactiveUnitedHealthcare Insurance Company300946Agent - Life10/20/20172/1/2020
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health10/13/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health10/13/202012/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health10/20/20174/30/2018
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health10/13/20202/21/2023
InactiveWashington National Insurance Company300587Agent - Health6/18/20239/18/2023
InactiveWashington National Insurance Company300587Agent - Life6/18/20239/18/2023
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/15/202112/30/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health4/14/202112/29/2021
InactiveWesco Insurance Company300534Agent - Casualty8/1/20052/21/2007
InactiveWesco Insurance Company300534Agent - Property8/1/20052/21/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life5/31/20172/1/2020
InactiveDesignated Agent Company Inc.681257Agent - Health5/31/20172/1/2020
InactiveMWAGIA, Inc549166Agent - Life2/28/20052/1/2020
InactiveMWAGIA, Inc549166Agent - Health2/28/20055/23/2016
InactiveMedlink Inc400721Agent - Life2/13/20032/1/2020
InactiveMedlink Inc400721Agent - Health2/13/20035/23/2016

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