DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Holly Lynn	DOIID	661523	NAIC NPN	636266

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	8/9/2007	7/31/2026
Active	Non Resident	Agent	Health	8/9/2007	7/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2024	07/31/2024	06/16/2024	06/16/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	3/15/2016	10/12/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	3/15/2016	10/12/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/5/2014	12/5/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/5/2014	12/5/2014
Active	Guardian Life Insurance Company of America	301316	Agent - Health	3/15/2016
Active	Guardian Life Insurance Company of America	301316	Agent - Life	3/15/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/5/2014	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	5/5/2014	8/14/2015
Inactive	Humana Insurance Company	301104	Agent - Life	5/5/2014	8/14/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/5/2014	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/5/2014	12/5/2014
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/9/2016	10/8/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/9/2016	10/8/2021
Inactive	Pruco Life Insurance Company	300954	Agent - Health	2/5/2008	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	2/5/2008	12/23/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	5/9/2016	10/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/9/2016	10/8/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/8/2016
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	1/8/2016
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/8/2016
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/30/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Usi Insurance Services LLC	669260	Agent - Life	3/10/2016
Active	Usi Insurance Services LLC	669260	Agent - Health	3/10/2016