DEPARTMENT OF INSURANCE
Affiliations
NameMiller, Timothy MarkDOIID744313NAIC NPN5958645
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentLife1/18/2011 9/30/2024
Pending ReplacementNon ResidentAgentVariable Life and Variable Annuities1/18/2011 9/30/2024
Pending ReplacementNon ResidentAgentHealth1/18/2011 9/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202409/30/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Life3/23/202112/12/2023
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities3/23/202112/6/2023
Pending ReplacementBrighthouse Life Insurance Company301829Agent - Health11/14/2014 
Pending ReplacementBrighthouse Life Insurance Company301829Agent - Life11/14/2014 
Pending ReplacementBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities11/14/2014 
InactiveEagle Life Insurance Company701261Agent - Life3/22/20231/6/2024
InactiveEquitable Financial Life Insurance Company300808Agent - Health4/26/201412/28/2018
InactiveEquitable Financial Life Insurance Company300808Agent - Life4/26/201412/28/2018
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities4/26/201412/28/2018
Pending ReplacementFidelity & Guaranty Life Insurance Company301359Agent - Life8/15/2022 
InactiveLincoln National Life Insurance Company (The)301382Agent - Health7/7/20142/10/2017
InactiveLincoln National Life Insurance Company (The)301382Agent - Life7/7/20142/10/2017
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities7/7/20142/10/2017
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life9/26/201610/29/2019
InactiveMetLife Investors USA Insurance Company300845Agent - Health1/24/201111/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life1/24/201111/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities1/24/201111/14/2014
InactiveMetropolitan Life Insurance Company301948Agent - Health2/3/20144/28/2018
InactiveMetropolitan Life Insurance Company301948Agent - Life2/3/20144/28/2018
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities2/3/20144/28/2018
InactivePruco Life Insurance Company300954Agent - Health1/21/201112/23/2014
InactivePruco Life Insurance Company300954Agent - Life1/21/201112/23/2014
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities1/21/201112/23/2014
InactivePrudential Insurance Company of America300784Agent - Health1/21/201112/23/2014
InactivePrudential Insurance Company of America300784Agent - Life1/21/201112/23/2014
InactivePrudential Insurance Company of America300784Agent - Variable Life and Variable Annuities1/21/201112/23/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Pending ReplacementRaymond James Insurance Group, Inc.398342Agent - Life5/17/2012 
Pending ReplacementRaymond James Insurance Group, Inc.398342Agent - Health5/17/2012 
Pending ReplacementRaymond James Insurance Group, Inc.398342Agent - Variable Life and Variable Annuities5/17/2012 

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