DEPARTMENT OF INSURANCE

Name	Miller, Jason Alexander	DOIID	747141	NAIC NPN	16141218

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	11/13/2020		10/31/2024
Active	Resident	Agent	Health	11/13/2020		10/31/2024
Active	Resident	Agent	Property	11/17/2020		10/31/2024
Active	Resident	Agent	Casualty	11/17/2020		10/31/2024
Inactive	Resident	Apprentice Adjuster	Not Applicable	2/1/2011	2/14/2011
Active	Resident	Staff Adjuster	Property & Casualty	2/14/2011		10/31/2024

*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	08/15/2024	10/31/2024
Staff Adjuster	08/15/2024	10/31/2024

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
Business / Home Office	9201 Bunsen Pkwy Louisville, KY 40220
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(502) 875-5667