DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Carol Ann	DOIID	651924	NAIC NPN	3186159

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	3/22/2007	7/2/2013
Inactive	Non Resident	Agent	Property	3/22/2007	7/2/2013
Inactive	Non Resident	Agent	Crop	3/22/2007	7/2/2013
Inactive	Non Resident	Managing General Agent	Not Applicable	12/4/2007	6/15/2010
* 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	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	4/5/2007	7/2/2013
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Crop	4/5/2007	7/2/2013
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	4/2/2007	7/2/2013
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	4/5/2007	7/2/2013
Inactive	Fireman's Fund Insurance Company	301423	Agent - Crop	4/5/2007	7/2/2013
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	4/2/2007	7/2/2013
Inactive	RLI Insurance Company	301217	Agent - Casualty	12/7/2007	4/12/2013
Inactive	RLI Insurance Company	301217	Agent - Property	12/7/2007	4/12/2013
Inactive	Rural Community Insurance Company	301891	Agent - Casualty	4/5/2007	7/2/2013
Inactive	Rural Community Insurance Company	301891	Agent - Crop	4/5/2007	7/2/2013
Inactive	Rural Community Insurance Company	301891	Agent - Property	4/2/2007	7/2/2013
Inactive	Stillwater Insurance Company	567181	Agent - Casualty	12/20/2007	12/1/2010
Inactive	Stillwater Insurance Company	567181	Agent - Property	12/20/2007	12/1/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Rural Community Insurance Agency, Inc	568123	Agent - Property	4/2/2007	6/19/2013
Inactive	Rural Community Insurance Agency, Inc	568123	Agent - Casualty	4/5/2007	6/19/2013