DEPARTMENT OF INSURANCE

Name	Miller, Jackie Alan	DOIID	377487	NAIC NPN	7203467

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	8/23/2002		6/30/2026
Active	Resident	Agent	Life	8/23/2002		6/30/2026
Active	Resident	Agent	Crop	6/15/1988		6/30/2026
Active	Resident	Agent	Health	8/23/2002		6/30/2026
Active	Resident	Agent	Property	8/23/2002		6/30/2026
Inactive	Resident	Agent	Assessment Chapter 299	8/12/1998	12/1/2000
Inactive	Resident	Agent	General Lines	10/1/1987	8/15/2000

*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	04/15/2024	06/30/2024	04/16/2024	04/16/2024	Yes

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Mailing	183 Millhouse Dr Grayson, KY 41143
Residence	Not Public Information
Business / Home Office	Miller Insurance Agency, Inc. P.O. Box 36 210 S. Carol Malone Blvd.Grayson, KY 41143

Phone Information

Type	Phone
Business / Home Office	(606) 474-5128