DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Jason David	DOIID	686377	NAIC NPN	10214860

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	8/1/2008	7/1/2010
Active	Non Resident	Independent Adjuster	Property & Casualty	5/9/2023		8/31/2026
Inactive	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010	5/9/2023
* 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
Independent Adjuster	06/15/2024	08/31/2024	06/06/2024	06/06/2024	Yes

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AFICS, Inc	1122840	Independent Adjuster - Property & Casualty	6/23/2023
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Staff Adjuster - Property & Casualty	12/21/2010	10/20/2014