DEPARTMENT OF INSURANCE
Affiliations
NameMiller, Mark JosephDOIID519913NAIC NPN3667267
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth2/28/2002 9/30/2024
ActiveResidentAgentVariable Life and Variable Annuities2/28/2002 9/30/2024
ActiveResidentAgentLife2/28/2002 9/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202409/30/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health2/9/20121/20/2015
InactiveAllianz Life Insurance Company of North America301791Agent - Life6/25/201912/12/2022
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities6/25/201911/25/2022
InactiveAmerican General Life Insurance Company301585Agent - Health8/30/201512/23/2019
InactiveAmerican General Life Insurance Company301585Agent - Life8/30/201512/23/2019
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities8/30/201512/23/2019
InactiveAmerican United Life Insurance Company300498Agent - Health6/26/20188/23/2023
InactiveAmerican United Life Insurance Company300498Agent - Life6/26/20188/23/2023
InactiveAmerican United Life Insurance Company300498Agent - Variable Life and Variable Annuities6/26/20188/23/2023
ActiveAmeritas Life Insurance Corporation300126Agent - Health1/9/2017 
ActiveAmeritas Life Insurance Corporation300126Agent - Life1/9/2017 
ActiveAmeritas Life Insurance Corporation300126Agent - Variable Life and Variable Annuities1/9/2017 
InactiveBanner Life Insurance Company301696Agent - Life12/23/201311/4/2016
ActiveBrighthouse Life Insurance Company301829Agent - Health11/14/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Life11/14/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities11/14/2014 
InactiveC.M. Life Insurance Company301335Agent - Health7/5/20027/28/2010
InactiveC.M. Life Insurance Company301335Agent - Life7/5/20027/28/2010
InactiveChase Insurance Life and Annuity Company300518Agent - Health3/25/20023/29/2006
InactiveChase Insurance Life and Annuity Company300518Agent - Life3/25/20023/29/2006
InactiveEmpower Annuity Insurance Company of America300259Agent - Life7/30/201810/1/2022
InactiveEmpower Annuity Insurance Company of America300259Agent - Variable Life and Variable Annuities7/30/201810/1/2022
InactiveEquitable Financial Life Insurance Company300808Agent - Life9/26/201312/29/2016
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities9/26/20134/21/2019
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Health3/25/200210/28/2008
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life3/25/200210/28/2008
InactiveFirst Colony Life Insurance Company301179Agent - Health3/22/20021/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life3/22/20021/1/2007
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health1/6/200412/12/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life1/6/200412/12/2008
ActiveFortitude Life Insurance & Annuity Company301503Agent - Life4/19/2004 
ActiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities4/19/2004 
InactiveGenworth Life Insurance Company300623Agent - Health2/28/200210/24/2009
InactiveGenworth Life Insurance Company300623Agent - Life2/28/200210/24/2009
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health1/1/20074/24/2009
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/20074/24/2009
InactiveJackson National Life Insurance Company300486Agent - Life3/3/20037/11/2022
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities11/7/20057/11/2022
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health2/19/20057/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life2/19/20057/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Variable Life and Variable Annuities2/19/20057/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health2/19/20054/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life2/19/20054/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Variable Life and Variable Annuities2/19/20054/2/2007
InactiveJohn Hancock Life Insurance Company300821Agent - Health10/4/200212/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life10/4/200212/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Variable Life and Variable Annuities10/4/200212/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/19/20084/23/2014
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life1/30/201812/29/2020
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities1/30/201812/29/2020
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Health10/4/200212/12/2006
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life10/4/200212/12/2006
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Variable Life and Variable Annuities10/4/200212/20/2006
InactiveLincoln Benefit Life Company301110Agent - Health2/17/200412/21/2010
InactiveLincoln Benefit Life Company301110Agent - Life2/17/200412/21/2010
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities2/17/200412/21/2010
ActiveLincoln National Life Insurance Company (The)301382Agent - Health2/28/2002 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life2/28/2002 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities2/28/2002 
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health7/5/20027/28/2010
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life7/5/20027/28/2010
InactiveMetLife Investors USA Insurance Company300845Agent - Health7/30/201011/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life7/30/201011/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities7/30/201011/14/2014
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Health2/25/200412/7/2007
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life2/25/200412/7/2007
InactiveMetropolitan Life Insurance Company301948Agent - Health7/2/201212/15/2014
InactiveMetropolitan Life Insurance Company301948Agent - Life7/2/201212/15/2014
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities9/16/200212/31/2006
ActiveMinnesota Life Insurance Company300488Agent - Life12/22/2003 
ActiveMinnesota Life Insurance Company300488Agent - Variable Life and Variable Annuities12/22/2003 
ActiveMutual of Omaha Insurance Company301012Agent - Health3/13/2024 
ActiveMutual of Omaha Insurance Company301012Agent - Life12/16/2013 
ActiveMutual of Omaha Insurance Company301012Agent - Variable Life and Variable Annuities12/16/2013 
InactiveNassau Life Insurance Company301406Agent - Life7/1/20025/2/2006
InactiveNassau Life Insurance Company301406Agent - Variable Life and Variable Annuities7/1/20025/2/2006
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health7/15/2014 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life7/15/2014 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities7/15/2014 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Life9/5/2008 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities9/5/2008 
InactivePHL Variable Insurance Company300525Agent - Life12/29/20035/2/2006
InactivePHL Variable Insurance Company300525Agent - Variable Life and Variable Annuities12/29/20035/2/2006
InactivePacific Life Insurance Company301848Agent - Life7/16/20129/23/2020
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities7/16/20129/23/2020
InactivePan-American Assurance Company301533Agent - Health5/16/20025/18/2005
InactivePan-American Assurance Company301533Agent - Life5/16/20025/18/2005
InactivePan-American Life Insurance Company301530Agent - Health5/16/20025/18/2005
InactivePan-American Life Insurance Company301530Agent - Life5/16/20025/18/2005
ActivePrincipal Life Insurance Company300129Agent - Health5/16/2018 
ActivePrincipal Life Insurance Company300129Agent - Life5/25/2018 
ActivePrincipal National Life Insurance Company301926Agent - Life12/19/2013 
ActiveProtective Life Insurance Company300638Agent - Health10/26/2023 
ActiveProtective Life Insurance Company300638Agent - Life10/26/2023 
ActiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities10/26/2023 
InactiveProvident Life and Accident Insurance Company301525Agent - Health1/25/200512/7/2006
InactiveProvident Life and Accident Insurance Company301525Agent - Life1/25/200512/7/2006
ActivePruco Life Insurance Company300954Agent - Health4/24/2003 
ActivePruco Life Insurance Company300954Agent - Life4/24/2003 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities4/21/2010 
InactiveSecurity Benefit Life Insurance Company300583Agent - Health10/23/201210/11/2019
InactiveSecurity Benefit Life Insurance Company300583Agent - Life10/23/201210/11/2019
InactiveSecurity Benefit Life Insurance Company300583Agent - Variable Life and Variable Annuities10/23/201210/11/2019
ActiveStandard Insurance Company300185Agent - Health12/8/2003 
ActiveStandard Insurance Company300185Agent - Life12/8/2003 
InactiveState Life Insurance Company301497Agent - Health7/29/20187/6/2023
InactiveState Life Insurance Company301497Agent - Life7/29/20187/6/2023
InactiveTransamerica Life Insurance Company300571Agent - Health10/1/200512/26/2006
ActiveTransamerica Life Insurance Company300571Agent - Life7/28/2011 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities7/28/2011 
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Health8/5/200210/1/2005
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Life8/5/200210/1/2005
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health8/5/200212/26/2006
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life8/5/200212/26/2006
InactiveU.S. Financial Life Insurance Company301812Agent - Life8/7/200210/31/2007
InactiveUNUM Life Insurance Company of America300817Agent - Health1/25/200512/7/2006
InactiveUNUM Life Insurance Company of America300817Agent - Life1/25/200512/7/2006
InactiveUSG Annuity & Life Company300457Agent - Life1/4/20022/28/2002
ActiveUnited of Omaha Life Insurance Company300156Agent - Health3/7/2024 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life5/14/2009 
ActiveUnited of Omaha Life Insurance Company300156Agent - Variable Life and Variable Annuities5/14/2009 
Inactive300277Agent - Life1/15/20037/19/2005
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveExecutive Ins Agency Inc400244Agent - Life7/7/2005 
ActiveExecutive Ins Agency Inc400244Agent - Health7/7/2005 
ActiveExecutive Ins Agency Inc400244Agent - Variable Life and Variable Annuities7/7/2005 

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