DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Jason Alexander	DOIID	747141	NAIC NPN	16141218

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	11/13/2020		10/31/2024
Active	Resident	Agent	Property	11/17/2020		10/31/2024
Active	Resident	Agent	Casualty	11/17/2020		10/31/2024
Active	Resident	Agent	Health	11/13/2020		10/31/2024
Inactive	Resident	Apprentice Adjuster	Not Applicable	2/1/2011	2/14/2011
Active	Resident	Staff Adjuster	Property & Casualty	2/14/2011		10/31/2024
* 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	08/15/2024	10/31/2024
Staff Adjuster	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	7/21/2022
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	7/21/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/30/2023
Active	Bristol West Insurance Company	301655	Agent - Casualty	12/7/2020
Active	Bristol West Insurance Company	301655	Agent - Property	12/7/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/7/2020	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/7/2020	12/20/2023
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	12/7/2020
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	12/7/2020
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	12/7/2020
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	12/7/2020
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	12/7/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	12/7/2020
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	12/7/2020
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	12/7/2020
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	12/7/2020

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Smith, Michael R	312843	Apprentice Adjuster - Not Applicable	2/1/2011	2/14/2011