DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Zachary Richard	DOIID	591244	NAIC NPN	8148735

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	11/30/2012	11/1/2015
Inactive	Resident	Agent	Life	11/30/2012	11/1/2015
Inactive	Resident	Agent	Health	11/30/2012	11/1/2015
Inactive	Resident	Agent	Casualty	11/30/2012	11/1/2015
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	5/13/2013	3/19/2015
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	5/13/2013	3/19/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/9/2013	11/1/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/9/2013	11/1/2015
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	4/9/2013	4/28/2015
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	4/9/2013	4/28/2015
Inactive	Banner Life Insurance Company	301696	Agent - Life	7/18/2013	11/1/2015
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/19/2013	11/1/2015
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/19/2013	11/1/2015
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	10/20/2014	11/1/2015
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	10/20/2014	11/1/2015
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	8/9/2004	1/26/2012
Inactive	Dairyland Insurance Company	301370	Agent - Property	8/9/2004	1/26/2012
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	7/21/2014	11/1/2015
Inactive	Encompass Indemnity Company	546376	Agent - Property	7/21/2014	11/1/2015
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	7/21/2014	11/1/2015
Inactive	Encompass Insurance Company of America	556578	Agent - Property	7/21/2014	11/1/2015
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	6/28/2004	12/27/2011
Inactive	FB Insurance Company (The)	301763	Agent - Health	6/30/2004	12/27/2011
Inactive	FB Insurance Company (The)	301763	Agent - Property	6/28/2004	12/27/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/19/2013	11/1/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/19/2013	11/1/2015
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/19/2013	11/1/2015
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/19/2013	11/1/2015
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/19/2013	11/1/2015
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/19/2013	11/1/2015
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	1/2/2014	3/20/2015
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	1/2/2014	3/20/2015
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/8/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	11/8/2005	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	6/8/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	6/8/2011
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	6/28/2004	12/27/2011
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	6/30/2004	12/27/2011
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	6/28/2004	12/27/2011
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	2/6/2014	10/8/2014
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	6/17/2013	11/1/2015
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	6/17/2013	11/1/2015
Inactive	Pruco Life Insurance Company	300954	Agent - Life	2/24/2015	11/1/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	3/27/2013	9/11/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	3/27/2013	9/11/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/27/2013	9/11/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/27/2013	9/11/2015
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	12/6/2013	3/20/2015
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	12/6/2013	3/20/2015
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	6/30/2004	12/27/2011
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	6/30/2004	12/27/2011
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/4/2011	2/3/2012
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/4/2011	2/3/2012
Inactive	Westfield Insurance Company	301950	Agent - Casualty	10/30/2013	3/20/2015
Inactive	Westfield Insurance Company	301950	Agent - Property	10/30/2013	3/20/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/9/2013	11/1/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/9/2013	11/1/2015
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	7/8/2004	1/3/2012
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	7/8/2004	12/27/2011
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	7/8/2004	12/27/2011
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	7/8/2004	1/3/2012
Inactive	Old Kentucky Insurance Inc.	399452	Agent - Casualty	3/27/2013	3/12/2015
Inactive	Old Kentucky Insurance Inc.	399452	Agent - Health	5/9/2013	3/12/2015
Inactive	Old Kentucky Insurance Inc.	399452	Agent - Life	5/9/2013	3/12/2015
Inactive	Old Kentucky Insurance Inc.	399452	Agent - Property	3/27/2013	3/12/2015