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.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
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	Blackboard Insurance Company	301640	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	Catlin Insurance Company, Inc.	300979	Agent - General Lines	5/10/1993	3/31/1996
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	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