DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Jackie Alan	DOIID	377487	NAIC NPN	7203467

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	8/23/2002		6/30/2026
Active	Resident	Agent	Life	8/23/2002		6/30/2026
Active	Resident	Agent	Health	8/23/2002		6/30/2026
Active	Resident	Agent	Property	8/23/2002		6/30/2026
Active	Resident	Agent	Crop	6/15/1988		6/30/2026
Inactive	Resident	Agent	Assessment Chapter 299	8/12/1998	12/1/2000
Inactive	Resident	Agent	General Lines	10/1/1987	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	04/15/2024	06/30/2024	04/16/2024	04/16/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Assurance Company	300897	Agent - Casualty	7/11/2003	3/10/2010
Inactive	AIG Assurance Company	300897	Agent - Property	7/11/2003	3/10/2010
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	7/31/2012	11/2/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	7/31/2012	11/2/2022
Inactive	All American Life Insurance Company	300702	Agent - Life	10/5/1999	5/24/2002
Inactive	American Alternative Insurance Corporation	301697	Agent - Casualty	6/1/2004	9/20/2005
Inactive	American Alternative Insurance Corporation	301697	Agent - Property	6/1/2004	9/20/2005
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	12/27/2001
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	2/3/1997	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	12/27/2001
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019	5/27/2022
Inactive	American Economy Insurance Company	300315	Agent - Property	11/8/2019	5/27/2022
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	5/9/2008	2/18/2016
Inactive	American Family Home Insurance Company	301817	Agent - Property	5/9/2008	2/18/2016
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	5/20/2004	10/15/2021
Inactive	American Fire and Casualty Company	300567	Agent - Property	5/20/2004	10/15/2021
Inactive	American Interstate Insurance Company	301092	Agent - Casualty	10/20/2011	12/28/2012
Inactive	American Interstate Insurance Company	301092	Agent - Property	10/20/2011	12/28/2012
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	8/24/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	8/24/2020
Active	Anthem Life Insurance Company	301209	Agent - Health	5/1/2005
Active	Anthem Life Insurance Company	301209	Agent - Life	5/1/2005
Inactive	Assurance Company of America	300432	Agent - Casualty	11/13/2003	1/17/2014
Inactive	Assurance Company of America	300432	Agent - Property	11/13/2003	1/17/2014
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	1/31/1990	7/1/2002
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	1/31/1990	7/1/2002
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/6/2008	12/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/6/2008	12/7/2017
Inactive	Buckeye Union Insurance Company (The)	300597	Agent - General Lines	2/5/1997	3/31/1998
Active	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	8/11/2005
Active	Celina Mutual Insurance Company (The)	301908	Agent - Property	8/11/2005
Active	Cincinnati Equitable Life Insurance Company	641870	Agent - Life	7/28/2023
Active	ClearPath Insurance Company	979815	Agent - Casualty	3/5/2024
Inactive	Commercial Insurance Company of Newark, New Jersey	300328	Agent - General Lines	2/3/1997	3/31/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	6/25/1996	3/31/1999
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	6/25/1996	3/31/1999
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	10/20/2011
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	12/27/2001
Inactive	Continental Casualty Company	301019	Agent - General Lines	2/3/1997	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	12/27/2001
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	1/31/1997	3/31/1998
Inactive	Cotton States Life Insurance Company	300268	Agent - Life	11/3/1999	3/21/2001
Active	Dairyland Insurance Company	301370	Agent - Casualty	8/3/2009
Active	Dairyland Insurance Company	301370	Agent - Property	8/3/2009
Active	Erie Family Life Insurance Company	301400	Agent - Health	8/9/2022
Active	Erie Family Life Insurance Company	301400	Agent - Life	8/9/2022
Active	Erie Insurance Company	300230	Agent - Casualty	8/9/2022
Active	Erie Insurance Company	300230	Agent - Property	8/9/2022
Active	Erie Insurance Company of New York	789916	Agent - Casualty	8/9/2022
Active	Erie Insurance Company of New York	789916	Agent - Property	8/9/2022
Active	Erie Insurance Exchange	300789	Agent - Casualty	8/9/2022
Active	Erie Insurance Exchange	300789	Agent - Property	8/9/2022
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	8/9/2022
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	8/9/2022
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	12/2/2005	8/22/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	12/2/2005	8/22/2012
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - General Lines	2/1/1997	3/31/1998
Inactive	First Colony Life Insurance Company	301179	Agent - Health	12/9/2003	12/20/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Life	12/9/2003	12/20/2006
Inactive	First Mutual Insurance Company	301258	Agent - Assessment Chapter 299	8/12/1998	12/1/2000
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	10/15/2021
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	10/15/2021
Active	Flagship City Insurance Company	789965	Agent - Casualty	8/9/2022
Active	Flagship City Insurance Company	789965	Agent - Property	8/9/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/29/2003
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/29/2003
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/16/2012	12/7/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/16/2012	12/7/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/16/2012	12/7/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/16/2012	12/7/2017
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	10/15/2021
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	10/15/2021
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/27/2011	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/27/2011	12/7/2012
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	11/13/2003	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	11/13/2003	11/30/2007
Inactive	Glens Falls Insurance Company (The)	301922	Agent - General Lines	2/4/1997	3/31/1998
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	9/13/2002
Active	Grange Indemnity Insurance Company	300793	Agent - Property	9/13/2002
Active	Grange Insurance Company	300234	Agent - Casualty	9/13/2002
Inactive	Grange Insurance Company	300234	Agent - General Lines	8/10/1993	8/15/2000
Active	Grange Insurance Company	300234	Agent - Property	9/13/2002
Inactive	Grange Life Insurance Company	300128	Agent - Health	8/23/2002	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	8/23/2002	12/28/2020
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	11/26/2007
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	11/26/2007
Inactive	Granite State Insurance Company	300818	Agent - Casualty	7/11/2003	3/10/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	7/11/2003	3/10/2010
Active	GuideOne Elite Insurance Company	300490	Agent - Casualty	2/26/2003
Active	GuideOne Elite Insurance Company	300490	Agent - Property	2/26/2003
Active	GuideOne Insurance Company	301794	Agent - Casualty	2/26/2003
Active	GuideOne Insurance Company	301794	Agent - Property	2/26/2003
Inactive	GuideOne Life Insurance Company	300098	Agent - Health	2/26/2003	9/30/2003
Inactive	GuideOne Life Insurance Company	300098	Agent - Life	2/26/2003	9/30/2003
Active	GuideOne Specialty Insurance Company	300278	Agent - Casualty	2/26/2003
Active	GuideOne Specialty Insurance Company	300278	Agent - Property	2/26/2003
Inactive	Hartford Casualty Insurance Company	301332	Agent - Crop	6/15/1988	9/10/2003
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/21/2007	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Health	5/21/2007	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Life	5/21/2007	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/21/2007	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/21/2007	9/8/2010
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	7/11/2003	3/10/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	7/11/2003	3/10/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	2/3/2023
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	12/27/1989	7/19/2000
Active	Inland Mutual Insurance Company	301184	Agent - Casualty	4/24/2020
Active	Inland Mutual Insurance Company	301184	Agent - Property	4/24/2020
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - General Lines	2/4/1997	3/31/1998
Inactive	Kansas City Life Insurance Company	301444	Agent - Health	9/30/2003	12/14/2017
Active	Kansas City Life Insurance Company	301444	Agent - Life	10/1/2018
Active	Kentucky Home Life Insurance Company	300477	Agent - Health	8/16/2011
Active	Kentucky Home Life Insurance Company	300477	Agent - Life	8/16/2011
Active	Kentucky National Insurance Company	301625	Agent - Casualty	8/23/2002
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	10/1/1987	8/15/2000
Active	Kentucky National Insurance Company	301625	Agent - Property	8/23/2002
Inactive	Maryland Casualty Company	301719	Agent - Casualty	11/13/2003	1/17/2014
Inactive	Maryland Casualty Company	301719	Agent - Property	11/13/2003	1/17/2014
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	8/15/2000	7/12/2001
Inactive	Metropolitan General Insurance Company	300709	Agent - General Lines	10/28/1998	8/15/2000
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	8/15/2000	7/12/2001
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/8/2007	4/13/2012
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	12/27/2001
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	2/4/1997	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	12/27/2001
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	10/20/2011
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	11/13/2003	1/17/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	11/13/2003	1/17/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	5/20/2004	5/27/2022
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	5/20/2004	5/27/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	5/20/2004	10/15/2021
Inactive	Ohio Security Insurance Company	300622	Agent - Property	5/20/2004	10/15/2021
Active	Old American Insurance Company	300762	Agent - Life	5/8/2020
Inactive	Omaha Insurance Company	751908	Agent - Health	3/27/2012	4/13/2012
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007	10/20/2011
Active	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007
Active	Peerless Insurance Company	301910	Agent - Property	9/8/2007
Active	Plaza Insurance Company	300748	Agent - Casualty	8/11/2023
Active	Plaza Insurance Company	300748	Agent - Property	8/11/2023
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	3/10/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	3/10/2010
Inactive	Pruco Life Insurance Company	300954	Agent - Life	2/8/2012	9/4/2013
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008
Active	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	11/4/2022
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	11/4/2022
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/20/2024
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	3/20/2024
Inactive	Time Insurance Company	300683	Agent - Health	1/23/2003	12/14/2010
Inactive	Time Insurance Company	300683	Agent - Life	1/23/2003	12/14/2010
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	2/5/1997	3/31/1998
Inactive	Transportation Insurance Company	301575	Agent - General Lines	2/1/1997	3/31/1998
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/29/2007	8/22/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/29/2007	8/22/2012
Active	Trustgard Insurance Company	300104	Agent - Casualty	9/13/2002
Active	Trustgard Insurance Company	300104	Agent - Property	9/13/2002
Inactive	Twin City Fire Insurance Company	300721	Agent - Crop	6/15/1988	4/2/2002
Inactive	United World Life Insurance Company	300532	Agent - Health	10/8/2007	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/8/2007	4/13/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/8/2007	4/13/2012
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	2/3/1997	3/31/1998
Inactive	West American Insurance Company	301112	Agent - Casualty	5/20/2004	5/27/2022
Inactive	West American Insurance Company	301112	Agent - Property	5/20/2004	5/27/2022
Active	West Bend Insurance Company	672974	Agent - Casualty	7/19/2016
Active	West Bend Insurance Company	672974	Agent - Property	7/19/2016
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	6/4/2001
Inactive	Western Surety Company	300283	Agent - General Lines	5/9/1997	8/15/2000
Inactive	Westport Insurance Corporation	300448	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Westport Insurance Corporation	301875	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Westport Insurance Corporation	301875	Agent - General Lines	4/23/1990	8/15/2000
Inactive	Westport Insurance Corporation	300448	Agent - General Lines	6/12/1997	8/15/2000
Inactive	Westport Insurance Corporation	300448	Agent - Property	8/15/2000	7/1/2002
Inactive	Westport Insurance Corporation	301875	Agent - Property	8/15/2000	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	Arison Insurance Services, Inc.	401001	Agent - Life	4/27/2005	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	4/27/2005	6/23/2008
Active	Designated Agent Company Inc.	681257	Agent - Life	6/24/2008
Active	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013
Inactive	Medlink Inc	400721	Agent - Life	12/21/2007	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	12/21/2007	3/31/2024
Active	Miller Insurance Agency Inc.	398389	Agent - Life	6/8/2004
Active	Miller Insurance Agency Inc.	398389	Agent - Health	6/8/2004
Active	Miller Insurance Agency Inc.	398389	Agent - Property	9/20/2002
Active	Miller Insurance Agency Inc.	398389	Agent - Casualty	9/20/2002
Inactive	Universal Life Insurance Agency Inc.	400142	Agent - General Lines	1/19/1995	8/15/2000
Inactive	Universal Life Insurance Agency Inc.	400142	Agent - Property	8/15/2000	7/1/2002
Inactive	Universal Life Insurance Agency Inc.	400142	Agent - Casualty	8/15/2000	7/1/2002