DEPARTMENT OF INSURANCE
Affiliations
NameMontgomery, Charlene DOIID507129NAIC NPN7212571
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife6/26/2000 6/30/2027
ActiveResidentAgentHealth6/26/2000 6/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent04/15/202506/30/202504/23/202504/23/2025Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health9/19/2018 
ActiveAetna Health and Life Insurance Company300523Agent - Health4/23/2019 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/6/2020 
ActiveAetna Life Insurance Company301140Agent - Health9/19/2018 
ActiveAetna Life Insurance Company301140Agent - Life9/19/2018 
InactiveAmerican Continental Insurance Company643130Agent - Life4/23/20198/11/2021
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health6/26/2000 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life6/26/2000 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health8/20/2019 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health10/15/202312/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health10/15/2023 
InactiveAnthem Life Insurance Company301209Agent - Health10/4/20184/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life10/4/20184/15/2025
ActiveArcadian Health Plan, Inc.728196Agent - Health10/1/2018 
ActiveBankers Fidelity Assurance Company554627Agent - Health5/23/2024 
ActiveBankers Fidelity Assurance Company554627Agent - Life5/23/2024 
ActiveBankers Fidelity Life Insurance Company300193Agent - Health5/23/2024 
ActiveBankers Fidelity Life Insurance Company300193Agent - Life5/23/2024 
InactiveBaptist Health Plan, Inc.300157Agent - Health5/21/20043/31/2019
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/2022 
ActiveCincinnati Life Insurance Company (The)300601Agent - Health3/10/2018 
ActiveCincinnati Life Insurance Company (The)300601Agent - Life3/10/2018 
ActiveColonial Life and Accident Insurance Company300846Agent - Health9/16/2016 
ActiveColonial Life and Accident Insurance Company300846Agent - Life9/16/2016 
InactiveCompBenefits Dental, Inc.591692Agent - Health5/16/201312/5/2014
ActiveCompBenefits Insurance Company301864Agent - Health1/22/2020 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health10/15/2023 
ActiveContinental American Insurance Company301700Agent - Health1/2/2025 
ActiveContinental American Insurance Company301700Agent - Life1/2/2025 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health4/23/2019 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life4/29/2024 
InactiveDental Concern Inc. (The)301641Agent - Health1/29/202012/15/2020
ActiveEssence Healthcare, Inc.657425Agent - Health10/25/2024 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health9/19/2018 
InactiveHartford Life and Accident Insurance Company300878Agent - Health9/29/201611/30/2018
InactiveHartford Life and Accident Insurance Company300878Agent - Life9/29/201611/30/2018
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/1/201812/13/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/1/201812/13/2022
ActiveHumana Health Plan, Inc.300142Agent - Health9/30/2024 
ActiveHumana Insurance Company301104Agent - Health10/1/2018 
ActiveHumana Insurance Company301104Agent - Life10/1/2018 
InactiveHumana Insurance Company of Kentucky300826Agent - Health5/16/201312/5/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Life5/16/201312/5/2014
InactiveHumana Medical Plan, Inc.801568Agent - Health10/1/201812/13/2022
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/1/201812/13/2022
InactiveKanawha Insurance Company300127Agent - Health5/16/201312/5/2014
InactiveKanawha Insurance Company300127Agent - Life5/16/201312/5/2014
InactiveReserve National Insurance Company301073Agent - Health11/26/20195/26/2021
InactiveReserve National Insurance Company301073Agent - Life11/26/20195/26/2021
ActiveSilverScript Insurance Company663526Agent - Health10/9/2019 
ActiveTier One Insurance Company301056Agent - Health10/24/2022 
InactiveTier One Insurance Company301056Agent - Life8/24/202212/26/2024
InactiveUnited World Life Insurance Company300532Agent - Health4/16/20198/1/2020
ActiveUnitedHealthcare Insurance Company300946Agent - Health9/4/2018 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/4/201812/21/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/6/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health9/4/201812/23/2021
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/4/2018 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/17/201912/30/2021
ActiveWellCare Prescription Insurance Inc.654329Agent - Health12/8/2018 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveCharlene Montgomery LLC647415Agent - Life9/21/2016 
ActiveCharlene Montgomery LLC647415Agent - Health9/21/2016 
ActiveDental Choice Agency Inc.398085Agent - Health9/22/2016 
InactiveLib Wilson & Associates, Inc.576591Agent - Life2/20/20043/31/2009
InactiveLib Wilson & Associates, Inc.576591Agent - Health2/20/20043/31/2009
InactiveMedlink Inc400721Agent - Life4/3/20039/14/2016
InactiveMedlink Inc400721Agent - Health4/3/20039/14/2016

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