DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Timothy Richard	DOIID	679649	NAIC NPN	8007978

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	5/1/2008	9/30/2025
Active	Non Resident	Agent	Health	5/1/2008	9/30/2025
Active	Non Resident	Agent	Casualty	3/26/2009	9/30/2025
Active	Non Resident	Agent	Property	3/26/2009	9/30/2025
* 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	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	1/17/2009	6/30/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/17/2009	6/30/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/17/2009	6/30/2022
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	12/1/2010
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	12/1/2010
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	5/14/2009	2/9/2012
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	5/14/2009	2/9/2012
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	12/31/2016	10/26/2021
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	12/31/2016	10/26/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/15/2017	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/15/2017	4/15/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	12/13/2016
Inactive	Conseco Health Insurance Company	301725	Agent - Health	6/1/2009	10/1/2010
Inactive	Conseco Health Insurance Company	301725	Agent - Life	6/1/2009	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Health	6/1/2009	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	6/1/2009	10/1/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/25/2017	4/29/2019
Active	Golden Rule Insurance Company	301943	Agent - Health	11/17/2008
Active	Golden Rule Insurance Company	301943	Agent - Life	11/17/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	6/14/2009	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Life	6/14/2009	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/18/2008	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/18/2008	12/5/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/16/2012	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/16/2012	5/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/11/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/11/2014	10/22/2015
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	4/8/2014	6/14/2017
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Health	4/8/2014	6/14/2017
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Property	4/8/2014	6/14/2017
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	11/5/2010	12/18/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	11/5/2010	12/18/2012
Active	National Health Insurance Company	300554	Agent - Health	9/13/2017
Inactive	Security Life Insurance Company of America	300936	Agent - Health	11/17/2008	12/31/2016
Inactive	Security Life Insurance Company of America	300936	Agent - Life	11/17/2008	12/31/2016
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	5/14/2008	5/26/2011
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	5/14/2008	5/26/2011
Inactive	Time Insurance Company	300683	Agent - Health	1/11/2016	11/23/2019
Inactive	Time Insurance Company	300683	Agent - Life	1/11/2016	11/23/2019
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	7/23/2010	12/9/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	7/23/2010	12/9/2013
Active	United of Omaha Life Insurance Company	300156	Agent - Health	12/29/2014
Active	United of Omaha Life Insurance Company	300156	Agent - Life	12/29/2014
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/12/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/12/2015	11/4/2016
Inactive	Washington National Insurance Company	300587	Agent - Health	10/1/2010	2/21/2014
Inactive	Washington National Insurance Company	300587	Agent - Life	10/1/2010	2/21/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Augeo Affinity Ins Services Inc	693168	Agent - Life	10/29/2008
Active	Augeo Affinity Ins Services Inc	693168	Agent - Health	10/29/2008
Active	Augeo Affinity Ins Services Inc	693168	Agent - Property	7/28/2010
Active	Augeo Affinity Ins Services Inc	693168	Agent - Casualty	7/28/2010
Active	Couch-Braunsdorf Affinity Inc	645263	Agent - Life	6/14/2010
Active	Couch-Braunsdorf Affinity Inc	645263	Agent - Health	6/14/2010
Active	Couch-Braunsdorf Affinity Inc	645263	Agent - Property	7/28/2010
Active	Couch-Braunsdorf Affinity Inc	645263	Agent - Casualty	7/28/2010
Active	Designated Agent Company Inc.	681257	Agent - Life	3/20/2017
Active	Designated Agent Company Inc.	681257	Agent - Health	3/20/2017