DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Samuel Robert	DOIID	1362678	NAIC NPN	21311114

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	9/19/2024		7/31/2026
Active	Non Resident	Agent	Casualty	9/19/2024		7/31/2026
* 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	05/15/2026	07/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	9/23/2024	2/27/2025
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/23/2024	2/27/2025
Inactive	Armed Forces Insurance Exchange	301448	Agent - Casualty	10/3/2024	2/26/2025
Inactive	Armed Forces Insurance Exchange	301448	Agent - Property	10/3/2024	2/26/2025
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/5/2024	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/5/2024	12/20/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/29/2024	4/16/2025
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/29/2024	4/16/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Armed Forces Ins Agency Inc -000	553779	Agent - Casualty	10/4/2024	2/26/2025
Inactive	Armed Forces Ins Agency Inc -000	553779	Agent - Property	10/4/2024	2/26/2025