DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Michael Douglas	DOIID	373457	NAIC NPN	548597

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	6/15/2021		2/28/2025
Active	Resident	Agent	Life	6/15/2021		2/28/2025
Active	Resident	Agent	Property	6/15/2021		2/28/2025
Active	Resident	Agent	Casualty	6/15/2021		2/28/2025
Inactive	Resident	Agent	General Lines	3/31/1993	8/15/2000
* 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	12/15/2024	02/28/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXA XL Insurance Company Americas	300979	Agent - General Lines	5/10/1993	3/31/1996
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	2/20/1997	3/31/1998
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	5/24/2017
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	5/24/2017
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	7/16/1993	5/5/2000
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	7/16/1993	5/5/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/15/2000	2/28/2021
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	5/12/1994	8/15/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/15/2000	2/28/2021
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	9/27/2001	7/20/2007
Inactive	American Reliable Insurance Company	301889	Agent - Property	9/27/2001	7/20/2007
Inactive	Assurance Company of America	300432	Agent - General Lines	10/4/1995	3/31/1996
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	12/27/2006	12/4/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	12/27/2006	12/4/2017
Inactive	Celtic Insurance Company	300877	Agent - Health	6/2/1992	3/31/1997
Inactive	Celtic Insurance Company	300877	Agent - Life	6/2/1992	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	1/10/1990	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	1/10/1990	3/31/1997
Inactive	Clarendon National Insurance Company	300843	Agent - Casualty	8/15/2000	3/9/2004
Inactive	Clarendon National Insurance Company	300843	Agent - General Lines	1/18/2000	8/15/2000
Inactive	Clarendon National Insurance Company	300843	Agent - Property	8/15/2000	3/9/2004
Inactive	Commercial Insurance Company of Newark, New Jersey	300328	Agent - General Lines	2/20/1997	3/31/1998
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	5/24/2017
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	5/24/2017
Inactive	Continental Casualty Company	301019	Agent - General Lines	2/6/1997	3/31/1998
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	2/6/1997	3/31/1998
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - General Lines	2/20/1997	3/31/1998
Inactive	Generali - U.S. Branch	301128	Agent - General Lines	5/14/1993	3/31/1998
Inactive	Glatfelter Insurance Company	301640	Agent - General Lines	10/4/1995	3/31/1996
Inactive	Glens Falls Insurance Company (The)	301922	Agent - General Lines	2/20/1997	3/31/1998
Inactive	Grange Insurance Company	300234	Agent - General Lines	10/14/1996	11/19/1996
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	8/30/1993	2/12/2003
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	8/30/1993	2/12/2003
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	5/24/2017
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	5/24/2017
Inactive	Infinity Insurance Company	300416	Agent - General Lines	3/16/1994	3/31/1996
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - General Lines	2/20/1997	3/31/1998
Inactive	Kentucky League of Cities Insurance Services Association	300026	Agent - Casualty	1/7/2019	2/28/2021
Inactive	Kentucky League of Cities Insurance Services Association	300026	Agent - Property	1/7/2019	2/28/2021
Inactive	Legion Insurance Company	301490	Agent - Casualty	8/15/2000	7/1/2003
Inactive	Legion Insurance Company	301490	Agent - General Lines	1/31/2000	8/15/2000
Inactive	Legion Insurance Company	301490	Agent - Property	8/15/2000	7/1/2003
Inactive	Lincoln General Insurance Company	301580	Agent - Casualty	2/21/2002	4/17/2006
Inactive	Lincoln General Insurance Company	301580	Agent - Property	2/21/2002	4/17/2006
Inactive	Maryland Casualty Company	301719	Agent - General Lines	10/4/1995	3/31/1996
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	4/14/1998	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	4/14/1998	3/31/2001
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	2/20/1997	3/31/1998
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	9/17/1993	4/29/1996
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	9/17/1993	4/29/1996
Inactive	National Insurance Association	301386	Agent - General Lines	11/29/1993	3/20/2000
Inactive	National Travelers Life Company	300304	Agent - Health	6/22/1998	10/4/1999
Inactive	National Travelers Life Company	300304	Agent - Life	6/22/1998	10/4/1999
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	2/26/1998	2/4/2013
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	2/26/1998	2/4/2013
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	5/24/2017
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	5/24/2017
Inactive	Northern Insurance Company of New York	301317	Agent - General Lines	10/4/1995	3/31/1996
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	5/24/2017
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	5/24/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	5/24/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	5/24/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008	5/24/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008	5/24/2017
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	5/24/2017
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	5/24/2017
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	9/23/1999	8/15/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	10/1/2003	4/10/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	9/23/1999	8/15/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	10/1/2003	4/10/2007
Inactive	Progressive Northwestern Insurance Company	300441	Agent - General Lines	9/23/1999	8/15/2000
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	8/16/2000	11/1/2002
Inactive	QBE Insurance Corporation	300515	Agent - Property	8/16/2000	11/1/2002
Inactive	Time Insurance Company	300683	Agent - Health	11/4/1987	3/31/1997
Inactive	Time Insurance Company	300683	Agent - Life	11/4/1987	3/31/1997
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	2/20/1997	3/31/1998
Inactive	Transportation Insurance Company	301575	Agent - General Lines	2/20/1997	3/31/1998
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	1/10/2005	2/8/2006
Inactive	UFG Specialty Insurance Company	300347	Agent - General Lines	5/10/1993	3/31/1996
Inactive	United Fire and Indemnity Company	300736	Agent - General Lines	5/10/1993	3/31/1996
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	2/20/1997	3/31/1998
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	5/24/2017
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	5/24/2017
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	7/21/2005
Inactive	Western Surety Company	300283	Agent - General Lines	10/20/1995	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cooper Insurance Inc.	399778	Agent - General Lines	9/13/1993	8/15/2000
Inactive	Cooper Insurance Inc.	399778	Agent - Life	9/13/1993	1/12/2005
Inactive	Cooper Insurance Inc.	399778	Agent - Health	9/13/1993	1/12/2005
Inactive	Cooper Insurance Inc.	399778	Agent - Property	8/15/2000	1/12/2005
Inactive	Cooper Insurance Inc.	399778	Agent - Casualty	8/15/2000	1/12/2005
Inactive	Jackson Insurance Agency Inc.	400914	Agent - General Lines	3/31/1993	3/31/1996
Inactive	Middlefork Insurance Agency, Inc	519863	Agent - Life	7/18/2005	2/4/2013
Inactive	Middlefork Insurance Agency, Inc	519863	Agent - Health	7/18/2005	2/4/2013
Inactive	Middlefork Insurance Agency, Inc	519863	Agent - Property	7/18/2005	1/20/2017
Inactive	Middlefork Insurance Agency, Inc	519863	Agent - Casualty	7/18/2005	1/20/2017
Inactive	WFG Property & Casualty Insurance Agency, Inc.	399378	Agent - Property	5/29/2001	5/31/2003
Inactive	WFG Property & Casualty Insurance Agency, Inc.	399378	Agent - Casualty	5/29/2001	5/31/2003
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	8/9/2001	12/28/2004
Inactive	World Marketing Alliance Inc.	398156	Agent - Life	2/26/1998	3/21/2003
Inactive	World Marketing Alliance Inc.	398156	Agent - Health	2/26/1998	3/21/2003