DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Kenneth Scott	DOIID	602727	NAIC NPN	671556

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/8/2005	8/19/2021
Inactive	Non Resident	Agent	Casualty	3/8/2005	8/19/2021
Inactive	Non Resident	Agent	Property	3/8/2005	8/19/2021
Inactive	Non Resident	Agent	Life	3/8/2005	8/19/2021
* 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	Continental Casualty Company	301019	Agent - Casualty	4/6/2005	8/7/2020
Inactive	Continental Casualty Company	301019	Agent - Property	4/6/2005	8/7/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acrisure Of California LLC	861366	Agent - Casualty	7/2/2018	4/27/2020
Inactive	Acrisure Of California LLC	861366	Agent - Property	7/2/2018	4/27/2020
Inactive	Chas A. Tegner Co	602814	Agent - Casualty	4/6/2005	12/8/2017
Inactive	Chas A. Tegner Co	602814	Agent - Property	4/6/2005	12/8/2017