DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Kevin	DOIID	905403	NAIC NPN	2427048

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/29/2016		1/31/2026
Active	Non Resident	Agent	Life	1/29/2016		1/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Life Insurance Company	301209	Agent - Health	5/1/2018
Active	Anthem Life Insurance Company	301209	Agent - Life	5/1/2018
Active	Banner Life Insurance Company	301696	Agent - Life	8/17/2017
Active	CareSource Kentucky Co.	838179	Agent - Health	11/6/2019
Inactive	Erie Family Life Insurance Company	301400	Agent - Health	9/30/2021	2/7/2024
Inactive	Erie Family Life Insurance Company	301400	Agent - Life	9/30/2021	2/7/2024
Active	Pruco Life Insurance Company	300954	Agent - Life	1/4/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	3/3/2022
Active	Designated Agent Company Inc.	681257	Agent - Life	5/2/2018
Active	Designated Agent Company Inc.	681257	Agent - Health	5/1/2018