DEPARTMENT OF INSURANCE

Affiliations

Name	Charlene Montgomery LLC	DOIID	647415	NAIC NPN	9034214

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	6/26/2009	3/31/2027
Active	Resident	Agent	Health	6/26/2009	3/31/2027
* 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	ACE Property and Casualty Insurance Company	300520	Agent - Health	1/3/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/19/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	4/23/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/19/2019
Active	Aetna Life Insurance Company	301140	Agent - Life	4/19/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	4/23/2019	8/11/2021
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/5/2010
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/5/2010
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/20/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/15/2023	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/15/2023
Active	Bankers Fidelity Assurance Company	554627	Agent - Health	4/30/2024
Active	Bankers Fidelity Life Insurance Company	300193	Agent - Health	4/30/2024
Active	Bankers Fidelity Life Insurance Company	300193	Agent - Life	4/30/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/15/2023
Inactive	Continental American Insurance Company	301700	Agent - Health	9/20/2012	12/26/2024
Inactive	Continental American Insurance Company	301700	Agent - Life	9/20/2012	12/26/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/23/2019
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	4/19/2024
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	9/15/2016
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	9/15/2016
Inactive	Reserve National Insurance Company	301073	Agent - Health	11/26/2019	5/26/2021
Inactive	Reserve National Insurance Company	301073	Agent - Life	11/26/2019	5/26/2021
Active	SilverScript Insurance Company	663526	Agent - Health	4/20/2020
Inactive	Tier One Insurance Company	301056	Agent - Health	10/24/2022	12/31/2024
Inactive	Tier One Insurance Company	301056	Agent - Life	8/24/2022	12/26/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/23/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	2/23/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/23/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/23/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Montgomery, Charlene	507129	Agent - Health	9/21/2016
Active	Montgomery, Charlene	507129	Agent - Life	9/21/2016
Active	Wilson, Elizabeth Ann	333011	Agent - Health	6/26/2009
Active	Wilson, Elizabeth Ann	333011	Agent - Life	6/16/2009