DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, David E	DOIID	712136	NAIC NPN	514411

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/6/2016	4/30/2021
* 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	Brighthouse Life Insurance Company	301829	Agent - Life	8/28/2017	7/2/2019
Inactive	CMFG Life Insurance Company	300929	Agent - Life	8/16/2017	2/7/2018
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	8/8/2017	7/24/2020
Inactive	MEMBERS Life Insurance Company	301289	Agent - Life	8/16/2017	2/7/2018
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	6/11/2020	4/30/2021
Inactive	Penn Insurance and Annuity Company	300712	Agent - Life	9/2/2009	3/31/2011
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Life	9/2/2009	3/31/2011
Inactive	RiverSource Life Insurance Company	301952	Agent - Life	10/6/2016	12/6/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	CFS INSURANCE & TECHNOLOGY SERVICES, LLC	522155	Agent - Life