DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Stephen Michael	DOIID	848644	NAIC NPN	8949729

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	4/29/2022	5/31/2025
Active	Non Resident	Agent	Personal Lines	1/9/2022	5/31/2025
Active	Non Resident	Agent	Health	8/19/2014	5/31/2025
Active	Non Resident	Agent	Life	8/19/2014	5/31/2025
Active	Non Resident	Agent	Casualty	1/9/2022	5/31/2025
Active	Non Resident	Agent	Property	1/9/2022	5/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/9/2022	5/31/2025
* 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
Administrator	03/15/2025	05/31/2025
Agent	03/15/2025	05/31/2025
Surplus Lines Broker	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	1/12/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/6/2024
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	10/10/2017
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/6/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	9/6/2024
Inactive	American Continental Insurance Company	643130	Agent - Life	10/10/2017	8/11/2021
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	12/20/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/20/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/20/2024
Active	Arch Insurance Company	300688	Agent - Casualty	7/12/2022
Active	Arch Insurance Company	300688	Agent - Property	7/12/2022
Active	Beazley Insurance Company, Inc.	300899	Agent - Casualty	9/1/2023
Active	Beazley Insurance Company, Inc.	300899	Agent - Property	9/1/2023
Active	Berkley Insurance Company	301355	Agent - Casualty	5/6/2022
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/14/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/3/2024
Active	Carolina Casualty Insurance Company	300271	Agent - Casualty	5/6/2022
Active	Cigna Healthcare of Colorado, Inc.	1098153	Agent - Health	10/14/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/20/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/10/2017
Active	Everest National Insurance Company	301319	Agent - Casualty	5/16/2023
Active	Everest National Insurance Company	301319	Agent - Property	5/16/2023
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	12/1/2022	11/30/2023
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	12/1/2022	11/30/2023
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	3/27/2023	11/30/2023
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	3/27/2023	11/30/2023
Active	Granite State Insurance Company	300818	Agent - Casualty	5/3/2022
Active	Granite State Insurance Company	300818	Agent - Property	5/3/2022
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/7/2019
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	1/7/2019
Active	HealthSpring Life and Health Insurance Company, Inc.	684899	Agent - Health	10/14/2024
Inactive	Horace Mann Life Insurance Company	300852	Agent - Health	8/28/2014	9/28/2016
Inactive	Horace Mann Life Insurance Company	300852	Agent - Life	8/28/2014	9/28/2016
Active	Illinois National Insurance Company	301367	Agent - Casualty	5/3/2022
Active	Illinois National Insurance Company	301367	Agent - Property	5/3/2022
Active	Independence American Insurance Company	524747	Agent - Casualty	8/2/2023
Active	Independence American Insurance Company	524747	Agent - Property	8/2/2023
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	5/2/2022
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Property	5/2/2022
Active	Medco Containment Life Insurance Company	301557	Agent - Health	10/14/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	8/26/2024
Active	National Specialty Insurance Company	300993	Agent - Casualty	8/15/2023
Active	National Specialty Insurance Company	300993	Agent - Property	8/15/2023
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	5/3/2022
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	5/3/2022
Active	New Hampshire Insurance Company	301670	Agent - Casualty	5/3/2022
Active	New Hampshire Insurance Company	301670	Agent - Property	5/3/2022
Active	New York Life Insurance Company	300431	Agent - Health	6/8/2022
Active	New York Life Insurance Company	300431	Agent - Life	6/8/2022
Active	Obsidian Insurance Company	301819	Agent - Casualty	7/28/2022
Active	Obsidian Insurance Company	301819	Agent - Health	9/3/2024
Active	Obsidian Insurance Company	301819	Agent - Property	7/28/2022
Active	Professional Solutions Insurance Company	569414	Agent - Casualty	11/1/2023
Active	Professional Solutions Insurance Company	569414	Agent - Property	11/1/2023
Active	Renaissance Life & Health Insurance Company of America	301447	Agent - Health	12/4/2019
Active	Renaissance Life & Health Insurance Company of America	301447	Agent - Life	12/4/2019
Active	SilverScript Insurance Company	663526	Agent - Health	9/6/2024
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	7/26/2023	8/17/2023
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	7/26/2023	8/17/2023
Active	United States Fire Insurance Company	582240	Agent - Health	9/14/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/3/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/3/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AMBA Administrators Inc	1202512	Administrator - Not Applicable	4/29/2022
Active	Association Member Benefits Advisors LLC	543911	Agent - Health	4/16/2018
Active	Association Member Benefits Advisors LLC	543911	Agent - Life	4/16/2018
Active	Association Member Benefits Advisors LLC	543911	Agent - Casualty	1/10/2022
Active	Association Member Benefits Advisors LLC	543911	Agent - Property	1/10/2022
Active	Association Member Benefits Advisors LLC	543911	Agent - Personal Lines	1/20/2022
Active	Association Member Benefits Advisors LLC	543911	Surplus Lines Broker - Not Applicable	1/27/2022
Inactive	Horace Mann Service Corporation	400869	Agent - Health	10/14/2015	9/28/2016
Inactive	Horace Mann Service Corporation	400869	Agent - Life	10/14/2015	9/28/2016
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Health	8/2/2022
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Life	8/2/2022
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Casualty	8/2/2022
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Property	8/2/2022
Denied	Mercer Health & Benefits Administration LLC	656414	Agent - Personal Lines
Active	Mercer Health & Benefits Administration LLC	656414	Surplus Lines Broker - Not Applicable	8/8/2022
Inactive	RB Ins Group LLC	638892	Agent - Health	1/31/2022	9/16/2024
Inactive	RB Ins Group LLC	638892	Agent - Life	1/31/2022	9/16/2024