DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Montalvo, Jacey	DOIID	1133171	NAIC NPN	19866960

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/5/2021		4/30/2025
* 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	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	12/30/2021	11/17/2023
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	5/11/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/5/2021
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/11/2021
Active	Dental Concern Inc. (The)	301641	Agent - Health	8/10/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/20/2022	11/1/2022
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/6/2021	10/23/2023
Inactive	Omaha Health Insurance Company	301296	Agent - Health	11/19/2023	5/2/2024
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Inactive	United World Life Insurance Company	300532	Agent - Health	10/30/2023	10/22/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	TZ Insurance Solutions LLC	727470	Agent - Health	10/14/2022