DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Michele Lee	DOIID	1100257	NAIC NPN	1002050

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/24/2020		8/31/2025
Active	Non Resident	Agent	Health	9/24/2020		8/31/2025
* 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	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/5/2020	8/18/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/5/2020	8/18/2023
Inactive	Starmount Life Insurance Company	628031	Agent - Health	10/5/2020	8/18/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/5/2020	8/18/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/5/2020	8/18/2023
Inactive	Unum Insurance Company	301499	Agent - Health	10/5/2020	8/18/2023
Inactive	Unum Insurance Company	301499	Agent - Life	10/5/2020	8/18/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acrisure LLC	696181	Agent - Life	7/15/2021	8/18/2023
Inactive	Acrisure LLC	696181	Agent - Health	7/15/2021	8/18/2023