DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Ezekiel	DOIID	1365374	NAIC NPN	20828942

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/2/2024		1/31/2026
Active	Non Resident	Agent	Life	10/2/2024		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

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/8/2024	10/30/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/8/2024	10/30/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/8/2024	10/30/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/8/2024	10/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Tpusa, Inc.	551795	Agent - Life
Pending	Tpusa, Inc.	551795	Agent - Health