DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Jerome L	DOIID	346111	NAIC NPN	3661526

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	8/15/2000	7/1/2002
Inactive	Resident	Agent	Life	11/8/1996	7/1/2002
Inactive	Resident	Agent	Property	8/15/2000	7/1/2002
Inactive	Resident	Agent	Health	11/8/1996	7/1/2002
Inactive	Resident	Agent	General Lines	3/21/1997	8/15/2000
Inactive	Resident	Temporary Agent	Debit (Temporary Health)	5/13/1996	11/8/1996
Inactive	Resident	Temporary Agent	Ordinary Life (Temporary Life)	5/13/1996	11/8/1996
* 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	Ability Insurance Company	301013	Agent - Health	6/26/2000	12/22/2000
Inactive	Ability Insurance Company	301013	Agent - Life	6/26/2000	12/22/2000
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	6/1/2000	9/4/2001
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	6/1/2000	9/4/2001
Inactive	American Commerce Insurance Company	301665	Agent - General Lines	6/18/1998	2/21/2000
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	6/1/2000	1/3/2001
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	6/1/2000	1/3/2001
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	6/1/2000	7/1/2002
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	6/1/2000	7/1/2002
Inactive	Continental Casualty Company	301019	Agent - Health	2/26/2001	7/1/2002
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	7/8/1998	5/4/2000
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - General Lines	8/11/1998	8/15/2000
Inactive	First Alliance Insurance Company	301000	Agent - Life	6/1/2000	7/1/2002
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - General Lines	8/21/1998	8/15/2000
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/15/2000	7/1/2002
Inactive	Genworth Life Insurance Company	300623	Agent - Health	6/11/2001	5/20/2002
Inactive	Genworth Life Insurance Company	300623	Agent - Life	6/11/2001	5/20/2002
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/9/2000	7/1/2002
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/9/2000	7/1/2002
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	9/13/2001	7/1/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Health	6/1/2000	9/4/2001
Inactive	LifeUSA Insurance Company	300386	Agent - Life	6/1/2000	9/4/2001
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Health	11/8/1996	11/13/1996
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Life	11/8/1996	11/13/1996
Inactive	MEGA Life and Health Insurance Company (The)	300751	Temporary Agent - Debit (Temporary Health)	5/13/1996	11/8/1996
Inactive	MEGA Life and Health Insurance Company (The)	300751	Temporary Agent - Ordinary Life (Temporary Life)	5/13/1996	11/8/1996
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	1/23/2001	7/1/2002
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	1/23/2001	7/1/2002
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Health	6/1/2000	7/1/2002
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	6/1/2000	7/1/2002
Inactive	Metropolitan General Insurance Company	300709	Agent - General Lines	7/8/1998	8/15/2000
Inactive	Mid-West National Life Insurance Company of Tennessee	300097	Agent - Health	11/15/1996	1/31/1997
Inactive	Mid-West National Life Insurance Company of Tennessee	300097	Agent - Life	11/15/1996	1/31/1997
Inactive	National States Insurance Company	300579	Agent - Health	5/26/2000	2/28/2001
Inactive	National States Insurance Company	300579	Agent - Life	5/26/2000	2/28/2001
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	6/1/2000	10/8/2001
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	6/1/2000	10/8/2001
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	8/30/2001	7/1/2002
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	8/30/2001	7/1/2002
Inactive	Sentry Insurance Company	300222	Agent - General Lines	3/21/1997	9/17/1998
Inactive	Sentry Life Insurance Company	301461	Agent - Health	2/21/1997	9/17/1998
Inactive	Sentry Life Insurance Company	301461	Agent - Life	2/21/1997	9/17/1998
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	6/1/2000	7/1/2002
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	6/1/2000	7/1/2002
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - General Lines	7/8/1998	8/15/2000
Inactive	Trustmark Insurance Company	300317	Agent - Health	6/1/2000	7/1/2002
Inactive	Trustmark Insurance Company	300317	Agent - Life	6/1/2000	7/1/2002
Inactive	United American Insurance Company	300910	Agent - Health	6/1/2000	12/29/2000
Inactive	United American Insurance Company	300910	Agent - Life	6/1/2000	12/29/2000
Inactive	Wilco Life Insurance Company	300122	Agent - Health	5/8/2000	7/1/2002
Inactive	Wilco Life Insurance Company	300122	Agent - Life	5/8/2000	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	AAA Kentucky Insurance Agency, Inc.	398406	Agent - General Lines	7/15/1998	3/15/2000