DEPARTMENT OF INSURANCE

Affiliations

Name	Montgomery, Gordon Duncan	DOIID	308831	NAIC NPN	7159593

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	7/3/1967	6/1/2014
Inactive	Resident	Agent	Life	7/3/1967	6/1/2014
* 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	American General Life Insurance Company	301585	Agent - Health	6/20/2005	12/15/2008
Inactive	American General Life Insurance Company	301585	Agent - Life	6/20/2005	12/15/2008
Inactive	Assurity Life Insurance Company	301099	Agent - Health	7/3/2012	6/1/2014
Inactive	Assurity Life Insurance Company	301099	Agent - Life	7/3/2012	6/1/2014
Inactive	Banner Life Insurance Company	301696	Agent - Life	2/18/2010	6/1/2014
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	5/15/2007	9/16/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	5/15/2007	9/16/2013
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	1/18/1999	12/26/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	1/18/1999	12/26/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Health	9/23/2009	1/7/2014
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/13/2005	1/7/2014
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	5/15/2007	6/10/2014
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	5/15/2007	6/10/2014
Inactive	Nassau Life Insurance Company	301406	Agent - Health	8/7/2000	2/13/2004
Inactive	Nassau Life Insurance Company	301406	Agent - Life	8/7/2000	2/13/2004
Inactive	Northwestern Long Term Care Insurance Company	300135	Agent - Health	4/4/2003	3/5/2014
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	7/3/1967	3/5/2014
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	7/3/1967	3/5/2014
Inactive	PHL Variable Insurance Company	300525	Agent - Health	8/7/2000	2/13/2004
Inactive	PHL Variable Insurance Company	300525	Agent - Life	8/7/2000	2/13/2004
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/1/2007	12/28/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/23/1996	10/24/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/23/1996	10/24/2003
Inactive	Pruco Life Insurance Company	300954	Agent - Health	5/24/2011	8/7/2013
Inactive	Pruco Life Insurance Company	300954	Agent - Life	5/24/2011	8/7/2013
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	12/30/1996	1/3/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	12/30/1996	1/3/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/1/2003	7/11/2005
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2003	7/11/2005
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	3/24/1999	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	3/24/1999	10/1/2003
Inactive	Standard Insurance Company	300185	Agent - Health	11/20/2007	6/1/2014
Inactive	Standard Insurance Company	300185	Agent - Life	11/20/2007	6/1/2014
Inactive	State Life Insurance Company	301497	Agent - Health	1/18/2001	6/26/2003
Inactive	State Life Insurance Company	301497	Agent - Life	1/18/2001	6/26/2003
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2008	6/1/2014
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	8/8/2005	10/1/2008
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	7/5/2005	10/3/2007
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/22/1993	12/21/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/22/1993	11/2/2005
Inactive	West Coast Life Insurance Company	301607	Agent - Life	8/16/2007	11/23/2009
Inactive		300277	Agent - Life	5/23/2001	1/1/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Associated Benefits Ltd.	398481	Agent - Life	3/11/1986	3/31/2006
Inactive	Associated Benefits Ltd.	398481	Agent - Health	3/11/1986	3/31/2006