DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Randal Wayne	DOIID	327152	NAIC NPN	7174026

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	1/13/2000	4/17/2000
Inactive	Resident	Agent	Credit Life & Health	9/22/1997	11/18/1999
Inactive	Resident	Agent	Life	7/28/2009	9/1/2012
Inactive	Resident	Temporary Agent	Debit (Temporary Health)	12/9/1999	1/13/2000
Inactive	Resident	Temporary Agent	Ordinary Life (Temporary Life)	12/9/1999	1/13/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	1/13/2000	4/17/2000
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	1/13/2000	4/17/2000
Inactive	American General Life and Accident Insurance Company	301362	Temporary Agent - Debit (Temporary Health)	12/9/1999	1/13/2000
Inactive	American General Life and Accident Insurance Company	301362	Temporary Agent - Ordinary Life (Temporary Life)	12/9/1999	1/13/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	12/10/1997	3/8/1999
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	4/17/2000	7/1/2002
Inactive	Modern Woodmen of America	301213	Agent - Life	7/28/2009	2/22/2011
Inactive	Protective Life Insurance Company of Kentucky	300663	Agent - Credit Life & Health	9/22/1997	12/10/1997
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	3/8/1999	11/18/1999
Inactive	Western National Life Insurance Company	300461	Agent - Life	2/7/2000	7/1/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Martin Cadillac Inc	398479	Agent - Credit Life & Health	12/11/1997	3/8/1999