DEPARTMENT OF INSURANCE
Affiliations
NameMilburn, Melissa DOIID836851NAIC NPN17227700
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth4/15/201410/31/2021 
InactiveResidentAgentLife4/4/201410/31/2021 
InactiveResidentAgentVariable Life and Variable Annuities10/10/201410/31/2021 
* 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.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveForethought Life Insurance Company301407Agent - Health9/2/201510/31/2021
InactiveForethought Life Insurance Company301407Agent - Life9/2/201510/31/2021
InactiveForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities9/2/201510/31/2021
InactiveState Life Insurance Company301497Agent - Health10/14/201410/31/2021
InactiveState Life Insurance Company301497Agent - Life10/14/201410/31/2021
InactiveWestern-Southern Life Assurance Company301590Agent - Health1/9/201510/31/2021
InactiveWestern-Southern Life Assurance Company301590Agent - Life1/9/201510/31/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFifth Third Insurance Agency Inc399341Agent - Life6/30/201510/31/2021
InactiveFifth Third Insurance Agency Inc399341Agent - Health6/30/201510/31/2021
InactiveFifth Third Insurance Agency Inc399341Agent - Variable Life and Variable Annuities9/2/201510/31/2021

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