DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Shott F	DOIID	572128	NAIC NPN	562924

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	6/30/2003	4/30/2004
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	6/30/2003	4/30/2004
Inactive	Non Resident	Agent	Life	6/30/2003	4/30/2004
* 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.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	8/18/2003	4/30/2004
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	8/18/2003	4/30/2004
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	8/19/2003	4/30/2004
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Variable Life and Variable Annuities	8/19/2003	4/30/2004
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	8/20/2003	3/1/2004
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Variable Life and Variable Annuities	8/20/2003	3/1/2004
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	8/19/2003	4/21/2004
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	8/19/2003	4/21/2004
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	8/19/2003	4/21/2004
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	8/19/2003	4/21/2004
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	8/19/2003	4/21/2004
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	8/19/2003	4/21/2004
Inactive	Transamerica Advisors Life Insurance Company	300539	Agent - Health	6/30/2003	4/30/2004
Inactive	Transamerica Advisors Life Insurance Company	300539	Agent - Life	6/30/2003	4/30/2004
Inactive	Transamerica Advisors Life Insurance Company	300539	Agent - Variable Life and Variable Annuities	6/30/2003	4/30/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/21/2003	4/30/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Variable Life and Variable Annuities	8/21/2003	4/30/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Merrill Lynch Life Agency Inc.	400527	Agent - Health	8/22/2003	4/30/2004
Inactive	Merrill Lynch Life Agency Inc.	400527	Agent - Life	8/22/2003	4/30/2004
Inactive	Merrill Lynch Life Agency Inc.	400527	Agent - Variable Life and Variable Annuities	8/22/2003	4/30/2004