DEPARTMENT OF INSURANCE
Affiliations
NameMontgomery, Charles AnthonyDOIID376201NAIC NPN5930866
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife10/4/198211/1/2008 
InactiveResidentAgentHealth10/4/198211/1/2008 
InactiveResidentAgentHealth Maintenance Organization9/11/19961/4/1999 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAbility Insurance Company301013Agent - Health3/9/19933/31/1997
InactiveAbility Insurance Company301013Agent - Life3/9/19933/31/1997
InactiveAetna Life Insurance Company301140Agent - Health2/9/199911/1/2008
InactiveAetna Life Insurance Company301140Agent - Life2/9/199911/1/2008
InactiveAllianz Life Insurance Company of North America301791Agent - Health1/20/200411/1/2008
InactiveAllianz Life Insurance Company of North America301791Agent - Life1/20/200411/1/2008
InactiveAmerican Continental Insurance Company643130Agent - Health4/16/200711/1/2008
InactiveAmerican Continental Insurance Company643130Agent - Life4/16/200711/1/2008
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life3/12/200711/1/2008
InactiveAmerican National Insurance Company301861Agent - Life7/13/199411/1/2008
InactiveAmerican Network Insurance Company301156Agent - Health11/13/20002/25/2002
InactiveAnthem Life Insurance Company301209Agent - Health9/24/200311/1/2008
InactiveAnthem Life Insurance Company301209Agent - Life9/24/200311/1/2008
InactiveBankers United Life Assurance Company300296Agent - Health8/11/199212/23/1996
InactiveBankers United Life Assurance Company300296Agent - Life8/11/199212/23/1996
InactiveCHA HMO, Inc.300662Agent - Health Maintenance Organization9/11/19961/4/1999
InactiveCentennial Life Insurance Company (The)301561Agent - Health12/15/19953/31/1997
InactiveCentennial Life Insurance Company (The)301561Agent - Life12/15/19953/31/1997
InactiveCentral States Health and Life Company of Omaha301874Agent - Health11/6/200212/27/2003
InactiveCentral States Health and Life Company of Omaha301874Agent - Life11/6/200212/27/2003
InactiveChase Insurance Life and Annuity Company300518Agent - Health1/6/19943/31/1997
InactiveChase Insurance Life and Annuity Company300518Agent - Life1/6/19943/31/1997
InactiveCommonwealth National Life Insurance Company300829Agent - Health12/19/19953/31/1997
InactiveCommonwealth National Life Insurance Company300829Agent - Life12/19/19953/31/1997
InactiveConseco Health Insurance Company301725Agent - Health9/6/20008/9/2004
InactiveConseco Health Insurance Company301725Agent - Life9/6/20008/9/2004
InactiveConseco Medical Insurance Company300719Agent - Health1/23/19971/2/2002
InactiveConseco Medical Insurance Company300719Agent - Life1/23/19971/2/2002
InactiveContinental Casualty Company301019Agent - Health9/1/199410/29/2002
InactiveContinental General Insurance Company300691Agent - Health12/13/19998/15/2003
InactiveContinental General Insurance Company300691Agent - Life12/13/19998/15/2003
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/16/200712/12/2008
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life3/16/200712/12/2008
InactiveFirst National Life Insurance Company300833Agent - Health8/26/19962/14/1997
InactiveFirst National Life Insurance Company300833Agent - Life8/26/19962/14/1997
InactiveGuarantee Trust Life Insurance Company301043Agent - Health1/27/199810/22/2002
InactiveGuarantee Trust Life Insurance Company301043Agent - Life1/27/199810/22/2002
InactiveHumana Health Plan, Inc.300142Agent - Health2/24/200311/1/2008
InactiveHumana Insurance Company301104Agent - Health2/24/200311/1/2008
InactiveHumana Insurance Company301104Agent - Life2/24/200311/1/2008
InactiveIllinois Mutual Life Insurance Company301479Agent - Health9/6/19941/22/2003
InactiveIllinois Mutual Life Insurance Company301479Agent - Life9/6/19941/22/2003
InactiveInter-State Assurance Company301556Agent - Life5/3/199310/16/1998
InactiveJackson National Life Insurance Company300486Agent - Life10/6/19925/20/1999
InactiveJohn Alden Life Insurance Company300573Agent - Health12/7/19953/31/1997
InactiveJohn Alden Life Insurance Company300573Agent - Life12/7/19953/31/1997
InactiveJohn Hancock Life Insurance Company300821Agent - Health11/25/200212/29/2008
InactiveKanawha Insurance Company300127Agent - Health4/11/200811/1/2008
InactiveKanawha Insurance Company300127Agent - Life4/11/200811/1/2008
InactiveLife Insurance Company of Alabama301439Agent - Health9/20/200211/1/2008
InactiveLife Insurance Company of Alabama301439Agent - Life9/20/200211/1/2008
InactiveLifeUSA Insurance Company300386Agent - Health12/12/19893/4/2002
InactiveLifeUSA Insurance Company300386Agent - Life12/12/19893/4/2002
InactiveLoyal American Life Insurance Company301172Agent - Health5/2/20039/12/2007
InactiveLoyal American Life Insurance Company301172Agent - Life5/2/20039/12/2007
InactiveMedAmerica Insurance Company301568Agent - Health11/4/200311/1/2008
InactiveMutual of Omaha Insurance Company301012Agent - Health3/14/200711/1/2008
InactiveNational Foundation Life Insurance Company300084Agent - Health3/21/19963/31/1997
InactiveNational Foundation Life Insurance Company300084Agent - Life3/21/19963/31/1997
InactiveNational States Insurance Company300579Agent - Health9/7/19943/31/1997
InactiveNational States Insurance Company300579Agent - Life9/7/19943/31/1997
InactiveNational Western Life Insurance Company301515Agent - Health10/11/19943/31/1997
InactiveNational Western Life Insurance Company301515Agent - Life10/11/19943/31/1997
InactiveNorth American Company for Life and Health Insurance300291Agent - Health2/14/200711/1/2008
InactiveNorth American Company for Life and Health Insurance300291Agent - Life2/14/200711/1/2008
InactiveOrder of United Commercial Travelers of America301723Agent - Life11/18/19963/11/2002
InactivePenn Treaty Network America Insurance Company301297Agent - Health12/28/199512/21/1999
InactivePenn Treaty Network America Insurance Company301297Agent - Life12/28/199512/21/1999
InactivePioneer Life Insurance Company300110Agent - Health11/16/19887/1/2003
InactivePioneer Life Insurance Company300110Agent - Life11/16/19887/1/2003
InactivePrincipal Life Insurance Company300129Agent - Health11/11/199811/30/2003
InactivePrincipal Life Insurance Company300129Agent - Life11/11/199811/30/2003
InactiveReassure America Life Insurance Company300678Agent - Health11/30/19933/31/1997
InactiveReassure America Life Insurance Company301902Agent - Health3/24/19971/3/2003
InactiveReassure America Life Insurance Company300678Agent - Life11/30/19933/31/1997
InactiveReassure America Life Insurance Company301902Agent - Life3/24/19971/3/2003
InactiveSILAC Insurance Company300535Agent - Health11/13/20032/14/2005
InactiveSILAC Insurance Company300535Agent - Life11/13/20032/14/2005
InactiveShenandoah Life Insurance Company300130Agent - Health8/1/200611/1/2008
InactiveShenandoah Life Insurance Company300130Agent - Life8/1/200610/24/2007
InactiveStandard Life and Accident Insurance Company301534Agent - Health9/22/19991/22/2007
InactiveStandard Life and Accident Insurance Company301534Agent - Life9/22/19991/22/2007
InactiveTime Insurance Company300683Agent - Health2/5/20011/28/2005
InactiveTime Insurance Company300683Agent - Life2/5/20011/28/2005
InactiveTransamerica Life Insurance Company300571Agent - Health11/19/19901/19/1999
InactiveTransamerica Life Insurance Company300571Agent - Life11/19/19901/19/1999
InactiveTrustmark Insurance Company300317Agent - Health7/31/199612/31/1998
InactiveTrustmark Insurance Company300317Agent - Life7/31/199612/31/1998
InactiveU.S. Financial Life Insurance Company301812Agent - Health3/31/19976/18/2003
InactiveU.S. Financial Life Insurance Company301812Agent - Life3/31/199711/15/2002
InactiveUnion Bankers Insurance Company301769Agent - Health5/25/19956/12/1998
InactiveUnion Bankers Insurance Company301769Agent - Life5/25/19956/12/1998
InactiveUnited American Insurance Company300910Agent - Health10/4/19822/19/2003
InactiveUnited American Insurance Company300910Agent - Life10/4/19822/19/2003
InactiveUnited Teacher Associates Insurance Company300747Agent - Health12/6/200212/19/2008
InactiveUnited Teacher Associates Insurance Company300747Agent - Life12/6/200212/19/2008
InactiveUnited World Life Insurance Company300532Agent - Health3/14/200711/1/2008
InactiveUnited of Omaha Life Insurance Company300156Agent - Health3/14/200711/1/2008
InactiveUnited of Omaha Life Insurance Company300156Agent - Life3/14/200711/1/2008
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health9/8/19953/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life9/8/19953/31/1997
InactiveWashington National Insurance Company300587Agent - Health3/27/19923/31/1997
InactiveWashington National Insurance Company300587Agent - Life3/27/19923/31/1997
InactiveWilcac Life Insurance Company301573Agent - Health3/24/199711/17/2000
InactiveWilcac Life Insurance Company301573Agent - Life3/24/199711/17/2000
InactiveWilco Life Insurance Company300122Agent - Health9/6/19883/31/1997
InactiveWilco Life Insurance Company300122Agent - Life9/6/19883/31/1997
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcordia of Western Kentucky Inc.401302Agent - Life1/19/19965/31/2003
InactiveAcordia of Western Kentucky Inc.401302Agent - Health1/19/19965/31/2003
InactiveArison Insurance Services, Inc.401001Agent - Life9/18/20036/23/2008
InactiveArison Insurance Services, Inc.401001Agent - Health9/18/20036/23/2008
InactiveMcConnell Insurance Agency Inc.400140Agent - Life2/20/200411/1/2008
InactiveMcConnell Insurance Agency Inc.400140Agent - Health2/20/200411/1/2008
DeniedMedlink Inc400721Agent - Life  
InactiveMedlink Inc400721Agent - Health5/16/200211/1/2008
InactiveRisk and Technology Advisors Inc.580500Agent - Life12/15/20033/5/2007
InactiveRisk and Technology Advisors Inc.580500Agent - Health12/15/20033/5/2007
InactiveWest Kentucky Group Benefits401049Agent - Life12/28/19982/24/2003
InactiveWest Kentucky Group Benefits401049Agent - Health12/28/19982/24/2003

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