DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Brian D	DOIID	593075	NAIC NPN	8006627

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/28/2004	1/27/2006
Inactive	Non Resident	Agent	Life	7/28/2004	1/27/2006
* 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	Acacia Life Insurance Company	300375	Agent - Health	9/27/2004	1/27/2006
Inactive	Acacia Life Insurance Company	300375	Agent - Life	9/27/2004	1/27/2006
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	9/29/2004	1/27/2006
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	9/20/2004	1/27/2006
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	9/20/2004	1/27/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	10/5/2004	1/27/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	10/5/2004	1/27/2006
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	11/17/2004	1/27/2006
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	11/17/2004	1/27/2006
Inactive	Security Life of Denver Insurance Company	300648	Agent - Health	9/29/2004	1/27/2006
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	9/29/2004	1/27/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBIZ Gebcorp Insurance, Inc.	534036	Agent - Life	2/24/2005	1/10/2006
Inactive	CBIZ Gebcorp Insurance, Inc.	534036	Agent - Health	2/24/2005	1/10/2006