DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Kelly E	DOIID	608368	NAIC NPN	8463912

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/14/2005	7/1/2008
Inactive	Resident	Agent	Health	6/14/2005	7/1/2008
* 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	Grange Life Insurance Company	300128	Agent - Health	6/28/2005	7/1/2008
Inactive	Grange Life Insurance Company	300128	Agent - Life	6/28/2005	7/1/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Appalachian Insurance Inc.	398625	Agent - Health	1/22/2007	9/1/2008
Inactive	Appalachian Insurance Inc.	398625	Agent - Life	1/22/2007	9/1/2008