DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2025	01/31/2026

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	5/1/2018	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/1/2018	12/16/2024
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
Inactive	Pruco Life Insurance Company	300954	Agent - Life	1/4/2022	12/23/2024

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
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/2/2018	2/10/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/1/2018	2/10/2025