DEPARTMENT OF INSURANCE
Affiliations
NameGlass, Randolph JDOIID811884NAIC NPN4678262
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth6/7/2013 1/31/2026
ActiveNon ResidentAgentCasualty9/28/2023 1/31/2026
ActiveNon ResidentAgentProperty9/28/2023 1/31/2026
ActiveNon ResidentAgentLife6/7/2013 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
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
InactiveAccendo Insurance Company300312Agent - Life7/15/202012/30/2023
ActiveAetna Health Inc. (PA)660717Agent - Health7/27/2021 
ActiveAetna Health and Life Insurance Company300523Agent - Health10/9/2018 
InactiveAetna Health of Ohio Inc.1065035Agent - Health7/27/20214/24/2024
ActiveAetna Life Insurance Company301140Agent - Health7/27/2021 
InactiveAetna Life Insurance Company301140Agent - Life9/18/20187/8/2021
InactiveAmerican Continental Insurance Company643130Agent - Life10/9/20188/11/2021
InactiveAmerican Retirement Life Insurance Company706303Agent - Health12/17/201512/22/2020
InactiveAmerican Retirement Life Insurance Company706303Agent - Life12/17/201512/22/2020
ActiveAmerican Strategic Insurance Corp883540Agent - Casualty10/30/2023 
ActiveAmerican Strategic Insurance Corp883540Agent - Property10/30/2023 
InactiveAmeritas Life Insurance Corporation300126Agent - Health3/28/202010/26/2021
InactiveAnthem Life Insurance Company301209Agent - Health7/22/20205/8/2021
InactiveAnthem Life Insurance Company301209Agent - Life7/22/20205/8/2021
InactiveArcadian Health Plan, Inc.728196Agent - Health11/29/202112/12/2024
InactiveBankers Fidelity Assurance Company554627Agent - Health9/7/20177/23/2018
InactiveBankers Fidelity Assurance Company554627Agent - Life9/7/20177/23/2018
InactiveBankers Fidelity Life Insurance Company300193Agent - Health9/7/20177/23/2018
InactiveBankers Fidelity Life Insurance Company300193Agent - Life9/7/20177/23/2018
ActiveBristol West Insurance Company301655Agent - Casualty1/11/2024 
ActiveBristol West Insurance Company301655Agent - Property1/11/2024 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health5/12/2020 
ActiveCSAA Fire & Casualty Insurance Company606666Agent - Casualty11/2/2023 
ActiveCSAA Fire & Casualty Insurance Company606666Agent - Property11/2/2023 
ActiveCSAA General Insurance Company606675Agent - Casualty11/2/2023 
ActiveCSAA General Insurance Company606675Agent - Property11/2/2023 
DeniedCare Improvement Plus South Central Insurance Company799697Agent - Health  
InactiveCompBenefits Dental, Inc.591692Agent - Health6/10/20134/20/2018
InactiveCompanion Life Insurance Company300191Agent - Health6/24/20134/27/2021
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health10/9/2018 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life3/10/2021 
InactiveDental Concern Inc. (The)301641Agent - Health6/10/20134/20/2018
ActiveFarmers Direct Property and Casualty Insurance Company300957Agent - Casualty1/11/2024 
ActiveFarmers Direct Property and Casualty Insurance Company300957Agent - Property1/11/2024 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Casualty1/11/2024 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Property1/11/2024 
InactiveFirst Health Life & Health Insurance Company301735Agent - Health9/18/20187/8/2021
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty1/11/2024 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property1/11/2024 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health11/12/201912/12/2024
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health5/1/20152/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health6/10/20134/20/2018
InactiveHumana Insurance Company301104Agent - Health1/25/201912/15/2020
InactiveHumana Insurance Company301104Agent - Life1/25/201912/15/2020
InactiveHumana Insurance Company of Kentucky300826Agent - Health6/10/20134/20/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life6/10/20134/20/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health1/8/202012/12/2024
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/20164/20/2018
ActiveIntegon Indemnity Corporation300674Agent - Casualty3/15/2025 
ActiveIntegon Indemnity Corporation300674Agent - Property3/15/2025 
InactiveKanawha Insurance Company300127Agent - Health6/10/201310/22/2015
InactiveKanawha Insurance Company300127Agent - Life6/10/201310/22/2015
InactiveManhattan Life Insurance Company300880Agent - Health2/27/20181/30/2019
InactiveManhattanLife Insurance and Annuity Company301795Agent - Health2/28/20187/26/2018
InactiveMutual of Omaha Insurance Company301012Agent - Health9/6/20177/18/2018
InactiveOmaha Insurance Company751908Agent - Health9/6/20177/18/2018
ActiveRoot Insurance Company964834Agent - Casualty10/11/2024 
ActiveRoot Insurance Company964834Agent - Property10/11/2024 
InactiveSilverScript Insurance Company663526Agent - Health7/27/20214/24/2024
InactiveStarr Indemnity and Liability Company301685Agent - Health7/2/201311/7/2016
InactiveTime Insurance Company300683Agent - Health6/11/201312/20/2014
InactiveTime Insurance Company300683Agent - Life6/11/201312/20/2014
InactiveUnited World Life Insurance Company300532Agent - Health2/24/20202/22/2021
InactiveUnited of Omaha Life Insurance Company300156Agent - Health9/6/20177/18/2018
InactiveUnited of Omaha Life Insurance Company300156Agent - Life9/6/20177/18/2018
InactiveUnitedHealthcare Insurance Company300946Agent - Health10/6/20212/21/2023
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/15/20163/13/2017
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health10/6/202112/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health10/6/202112/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/26/201512/5/2016
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health10/6/20212/21/2023
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health1/21/202210/3/2023
InactiveWellCare Prescription Insurance Inc.654329Agent - Health3/8/201910/3/2023
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life7/22/20205/10/2021
InactiveDesignated Agent Company Inc.681257Agent - Health7/22/20205/10/2021
InactiveEnsurem II LLC908041Agent - Life9/6/20184/9/2021
InactiveEnsurem II LLC908041Agent - Health9/6/20184/9/2021
ActiveInsurancezebra Inc794167Agent - Casualty10/30/2023 
ActiveInsurancezebra Inc794167Agent - Property10/30/2023 
InactiveeHealthInsurance Services Inc.514105Agent - Health10/20/20212/7/2023

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