DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Montes, Edda Lee	DOIID	737724	NAIC NPN	15935567

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/11/2021		7/31/2025
Active	Non Resident	Agent	Casualty	10/11/2021		7/31/2025
Active	Non Resident	Agent	Property	10/11/2021		7/31/2025
Active	Non Resident	Agent	Life	10/11/2021		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	Aetna Health Inc. (PA)	660717	Agent - Health	11/3/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/3/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	11/3/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/1/2010	11/16/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/1/2010	11/16/2012
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/26/2012	5/13/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/26/2012	5/13/2013
Inactive	Humana Insurance Company	301104	Agent - Health	11/26/2012	5/13/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/26/2012	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/1/2010	11/16/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/1/2010	11/16/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/12/2012	7/31/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	11/12/2012	7/31/2013
Active	SilverScript Insurance Company	663526	Agent - Health	11/3/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/4/2012	5/7/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/4/2012	5/7/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Good Faith Insurance Services Property & Casualty	1165920	Agent - Health	10/12/2021
Active	Good Faith Insurance Services Property & Casualty	1165920	Agent - Life	10/12/2021
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	10/26/2010	7/31/2013