DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Montgomery, Harriett Lavonne	DOIID	641492	NAIC NPN	3420967

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/5/2006		7/31/2025
Active	Non Resident	Agent	Health	10/5/2006		7/31/2025
* 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
Active	All Savers Insurance Company	301940	Agent - Health	12/2/2014
Active	All Savers Insurance Company	301940	Agent - Life	12/2/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/2/2009	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/2/2009	11/3/2016
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	5/2/2013	10/12/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	5/2/2013	10/12/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/31/2006	5/12/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/31/2006	5/12/2008
Active	Guardian Life Insurance Company of America	301316	Agent - Health	5/2/2013
Active	Guardian Life Insurance Company of America	301316	Agent - Life	5/2/2013
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	5/1/2014	9/20/2021
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	5/1/2014	9/20/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/27/2015	11/30/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/27/2015	11/30/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	5/27/2015	11/30/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/27/2015	11/30/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/29/2017	3/27/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/29/2017	3/27/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/6/2013	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/6/2013	11/2/2016
Active	Huntington Insurance Inc	515749	Agent - Life	7/2/2009
Active	Huntington Insurance Inc	515749	Agent - Health	7/2/2009
Inactive	Huntington Life Insurance Agency, Inc.	551758	Agent - Life	2/2/2007	5/12/2008
Inactive	Huntington Life Insurance Agency, Inc.	551758	Agent - Health	2/2/2007	5/12/2008