DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Montgomery, Clifton	DOIID	642817	NAIC NPN	8861751

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/28/2020		9/30/2024
Inactive	Non Resident	Agent	Life	10/25/2006	6/11/2010
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/6/2020	2/22/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/27/2021	2/22/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/27/2021	2/22/2022
Inactive	Balboa Life Insurance Company	301327	Agent - Health	8/7/2009	3/1/2010
Inactive	Balboa Life Insurance Company	301327	Agent - Life	8/7/2009	3/1/2010
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/27/2021	2/22/2022
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	12/29/2006	5/13/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	12/29/2006	5/13/2008
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	12/14/2009	4/23/2010
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	12/14/2009	4/23/2010
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	11/22/2006	6/11/2010
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	1/7/2007	3/9/2010
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	1/7/2007	3/9/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	1/7/2007	3/9/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/7/2007	3/9/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Telespectrum Inc	604670	Agent - Life	4/10/2007	3/31/2009
Inactive	Telespectrum Inc	604670	Agent - Health	4/10/2007	3/31/2009
Inactive	e-Telequote Insurance, Inc.	687772	Agent - Life	12/8/2008	8/20/2009
Inactive	e-Telequote Insurance, Inc.	687772	Agent - Health	12/8/2008	8/20/2009