DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Tammy	DOIID	782859	NAIC NPN	10063033

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Variable Life and Variable Annuities	5/29/2012	7/31/2026
Active	Non Resident	Agent	Life	5/29/2012	7/31/2026
Active	Non Resident	Agent	Health	5/29/2012	7/31/2026
* 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

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2024	07/31/2024	07/17/2024	07/17/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/12/2012	12/10/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/12/2012	12/10/2012
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/4/2015	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/23/2014	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/23/2014	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	6/23/2014	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	6/23/2014	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/23/2014	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/23/2014	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/4/2015	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/8/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/4/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/4/2015	10/22/2015
Active	Thrivent Financial for Lutherans	301101	Agent - Health	5/29/2012
Active	Thrivent Financial for Lutherans	301101	Agent - Life	5/29/2012
Active	Thrivent Financial for Lutherans	301101	Agent - Variable Life and Variable Annuities	5/29/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Thrivent Ins Agency Inc	510973	Agent - Health	7/3/2012
Active	Thrivent Ins Agency Inc	510973	Agent - Life	7/3/2012
Active	Thrivent Ins Agency Inc	510973	Agent - Variable Life and Variable Annuities	7/3/2012