DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Marylyn	DOIID	1018539	NAIC NPN	18961938

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/8/2018	3/31/2021
* 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
Inactive	AXIS Insurance Company	301290	Agent - Health	3/13/2020	3/31/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/19/2019	7/23/2020
Inactive	Aspen American Insurance Company	301513	Agent - Health	7/15/2019	12/1/2020
Inactive	LifeShield National Insurance Company	737111	Agent - Health	7/25/2019	5/13/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	7/15/2019	3/31/2021