DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Montgomery, Stacey	DOIID	1340031	NAIC NPN	21068489

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/16/2025		1/31/2028
Active	Non Resident	Agent	Health	5/13/2024		1/31/2028
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	5/21/2024	10/30/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/29/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	5/29/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/21/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/21/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/21/2025
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	4/23/2025	5/9/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/21/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	10/7/2024
Active	Emphesys Insurance Company	300598	Agent - Health	10/24/2025
Active	Golden Rule Insurance Company	301943	Agent - Health	6/12/2025
Active	Golden Rule Insurance Company	301943	Agent - Life	6/12/2025
Active	Guardian Life Insurance Company of America	301316	Agent - Health	2/10/2026
Active	Guardian Life Insurance Company of America	301316	Agent - Life	2/10/2026
Inactive	Humana Insurance Company	301104	Agent - Health	12/9/2024	6/10/2025
Active	Humana Medical Plan, Inc.	801568	Agent - Health	12/9/2025
Active	SilverScript Insurance Company	663526	Agent - Health	5/29/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/21/2025
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/21/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gohealth LLC	691445	Agent - Health	2/17/2025	10/3/2025