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	3/31/2025
Active	Resident	Agent	Health	6/26/2009	3/31/2025
* 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	01/15/2025	03/31/2025

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
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/15/2023
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
Active	Continental American Insurance Company	301700	Agent - Health	9/20/2012
Active	Continental American Insurance Company	301700	Agent - Life	9/20/2012
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
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	8/24/2022
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