DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	All Savers Insurance Company	301940	Agent - Health	12/2/2014	10/16/2024
Inactive	All Savers Insurance Company	301940	Agent - Life	12/2/2014	10/16/2024
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
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	5/2/2013	10/15/2024
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	5/2/2013	10/15/2024
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
Inactive	Huntington Insurance Inc	515749	Agent - Life	7/2/2009	9/25/2024
Inactive	Huntington Insurance Inc	515749	Agent - Health	7/2/2009	9/25/2024
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