DEPARTMENT OF INSURANCE

Affiliations

Name	Montgomery, Tyrone	DOIID	1143670	NAIC NPN	19957306

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/16/2025	7/31/2026
Active	Non Resident	Agent	Health	7/7/2021	7/31/2026
* 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	05/15/2026	07/31/2026

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	8/3/2021	10/29/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/3/2021	10/29/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/3/2021	10/29/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/7/2021	7/16/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	7/16/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021	7/16/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	1/29/2025	10/15/2025
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	2/11/2024	12/5/2025
Active	Colonial Penn Life Insurance Company	300491	Agent - Life	9/30/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	7/16/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	10/15/2024
Inactive	Humana Insurance Company	301104	Agent - Health	6/10/2024	10/15/2025
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	5/16/2025	10/15/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/3/2021	10/29/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/11/2024	12/5/2025
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/7/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/7/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/11/2024	12/5/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	3/8/2022	7/30/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	5/16/2022	7/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	e-Telequote Insurance, Inc.	687772	Agent - Health	4/15/2025