DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Benjamin Gabriel	DOIID	740239	NAIC NPN	8783523

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/19/2010	7/6/2012
Inactive	Non Resident	Agent	Health	10/19/2010	7/6/2012
* 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	Anthem Life Insurance Company	301209	Agent - Health	8/1/2011	7/6/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/1/2011	7/6/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/1/2011	7/6/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Life	8/1/2011	7/6/2012
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	8/1/2011	11/23/2011
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	8/1/2011	11/23/2011