DEPARTMENT OF INSURANCE

Affiliations

Name	Montalvo, Martin	DOIID	565451	NAIC NPN	3147314

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	11/27/2006	4/30/2011
Inactive	Non Resident	Agent	Property	3/10/2003	4/30/2011
Inactive	Non Resident	Agent	Casualty	3/10/2003	4/30/2011
Inactive	Non Resident	Agent	Life	11/27/2006	4/30/2011
* 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	21st Century North America Insurance Company	300884	Agent - Casualty	6/16/2004	2/9/2006
Inactive	21st Century North America Insurance Company	300884	Agent - Property	6/16/2004	2/9/2006
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	5/5/2009	4/30/2011
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/5/2009	4/30/2011
Inactive	Aetna Life Insurance Company	301140	Agent - Life	5/5/2009	4/30/2011
Inactive	American Home Assurance Company	300246	Agent - Casualty	6/16/2004	2/9/2006
Inactive	American Home Assurance Company	300246	Agent - Property	6/16/2004	2/9/2006
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	1/16/2009	1/15/2010
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	1/16/2009	1/15/2010
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	1/25/2008	2/10/2009
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	1/25/2008	2/10/2009
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/9/2008	7/30/2009
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/9/2008	7/30/2009
Inactive	CompBenefits Insurance Company	301864	Agent - Life	10/9/2008	7/30/2009
Inactive	Conseco Insurance Company	301202	Agent - Health	10/11/2008	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	10/11/2008	10/1/2010
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	1/18/2008	4/30/2011
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/29/2008	4/30/2011
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	3/10/2003	6/4/2004
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	3/10/2003	6/4/2004
Inactive	Health Net Life Insurance Company	620945	Agent - Health	12/23/2008	12/7/2009
Inactive	Health Net Life Insurance Company	620945	Agent - Life	12/23/2008	12/7/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/9/2008	7/30/2009
Inactive	Humana Insurance Company	301104	Agent - Health	10/9/2008	7/30/2009
Inactive	Humana Insurance Company	301104	Agent - Life	10/9/2008	7/30/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/9/2008	7/30/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/9/2008	7/30/2009
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	3/10/2003	6/4/2004
Inactive	Liberty Insurance Corporation	300444	Agent - Property	3/10/2003	6/4/2004
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	3/10/2003	6/4/2004
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	3/10/2003	6/4/2004
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Health	1/16/2009	1/15/2010
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Life	1/16/2009	1/15/2010
Inactive	Mid-West National Life Insurance Company of Tennessee	300097	Agent - Health	1/16/2009	1/15/2010
Inactive	Mid-West National Life Insurance Company of Tennessee	300097	Agent - Life	1/16/2009	1/15/2010
Inactive	Sterling Life Insurance Company	301947	Agent - Health	10/1/2008	8/12/2009
Inactive	United World Life Insurance Company	300532	Agent - Health	10/30/2008	9/18/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/30/2008	9/18/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/30/2008	9/18/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/14/2007	5/10/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	2/14/2007	5/10/2010
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/14/2007	5/10/2010
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/14/2007	5/10/2010
Inactive	Washington National Insurance Company	300587	Agent - Health	10/1/2010	12/22/2010
Inactive	Washington National Insurance Company	300587	Agent - Life	10/1/2010	12/22/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Extend Insurance Services, LLC	625753	Agent - Life	10/15/2008	4/30/2011
Inactive	Extend Insurance Services, LLC	625753	Agent - Health	10/15/2008	4/30/2011