DEPARTMENT OF INSURANCE

Affiliations

Name	Montgomery, Demetris Leon	DOIID	760810	NAIC NPN	15811421

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	8/12/2011	7/31/2024
Inactive	Non Resident	Agent	Health	8/12/2011	7/31/2024
* 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
Inactive	ACE American Insurance Company	300625	Agent - Health	12/8/2016	9/11/2024
Inactive	AXIS Insurance Company	301290	Agent - Health	2/19/2016	10/10/2019
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	2/11/2013	7/31/2024
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Life	2/11/2013	7/31/2024
Inactive	American General Life Insurance Company	301585	Agent - Health	3/29/2015	12/20/2023
Inactive	American General Life Insurance Company	301585	Agent - Life	3/29/2015	12/20/2023
Inactive	CareSource Kentucky Co.	838179	Agent - Health	3/25/2024	8/22/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	7/18/2023	7/31/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	7/18/2023	7/31/2024
Inactive	Federal Insurance Company	301144	Agent - Health	12/8/2016	9/11/2024
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	1/14/2013	11/10/2016
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	2/22/2013	7/18/2017
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	2/22/2013	7/18/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/12/2020	8/3/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/12/2020	8/3/2024
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	2/15/2023	7/31/2024
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	2/15/2023	7/31/2024
Inactive	LifeShield National Insurance Company	737111	Agent - Health	4/28/2015	1/19/2023
Inactive	LifeShield National Insurance Company	737111	Agent - Life	4/28/2015	1/19/2023
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	10/25/2016	1/8/2019
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	10/25/2016	1/8/2019
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	11/13/2023	7/31/2024
Inactive	National Health Insurance Company	300554	Agent - Health	11/2/2014	12/11/2019
Inactive	National Health Insurance Company	300554	Agent - Life	11/2/2014	12/11/2019
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	3/26/2024	7/31/2024
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	3/26/2024	7/31/2024
Inactive	Senior Life Insurance Company	558267	Agent - Life	6/15/2016	12/21/2022
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	5/1/2023	9/11/2024
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	2/11/2013	7/31/2024
Inactive	Time Insurance Company	300683	Agent - Health	10/9/2012	4/2/2014
Inactive	Time Insurance Company	300683	Agent - Life	10/9/2012	4/2/2014
Inactive	Unified Life Insurance Company	543169	Agent - Health	7/19/2023	7/31/2024
Inactive	United States Fire Insurance Company	582240	Agent - Health	11/25/2012	9/12/2024
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	3/20/2024	5/1/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	12/13/2023	7/31/2024
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/13/2023	7/31/2024