DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Ethan Michael	DOIID	1162517	NAIC NPN	20069353

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/28/2021		9/30/2025
* 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	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	2/6/2023	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/14/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	2/6/2023	4/10/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/14/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	10/14/2021
Inactive	American Republic Insurance Company	300861	Agent - Health	1/25/2023	3/15/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/28/2021	3/9/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/28/2021	3/9/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/28/2021	3/9/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/4/2023	4/2/2024
Inactive	Cigna National Health Insurance Company	300235	Agent - Health	12/26/2023	9/5/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/28/2021	3/9/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/6/2023	4/10/2025
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/10/2022	12/20/2022
Active	Humana Insurance Company	301104	Agent - Health	2/15/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/8/2022	12/20/2022
Inactive	Medico Insurance Company	301559	Agent - Health	10/10/2023	3/15/2024
Active	SilverScript Insurance Company	663526	Agent - Health	10/14/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/4/2023	4/2/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/16/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/4/2023	4/2/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Health	10/27/2021	3/2/2023