DEPARTMENT OF INSURANCE

Affiliations

Name	Montgomery, Glenn Leon	DOIID	848233	NAIC NPN	7692095

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/3/2024		7/31/2026
Active	Non Resident	Agent	Casualty	5/29/2025		7/31/2026
Active	Non Resident	Agent	Personal Lines	4/1/2025		7/31/2026
Active	Non Resident	Agent	Property	5/29/2025		7/31/2026
Inactive	Non Resident	Agent	Life	4/25/2016	7/31/2020
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	4/29/2020	7/31/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/29/2020	7/31/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/29/2020	7/31/2020
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/14/2021	12/13/2022
Inactive	CMFG Life Insurance Company	300929	Agent - Health	4/18/2019	6/10/2019
Inactive	CMFG Life Insurance Company	300929	Agent - Life	4/18/2019	6/10/2019
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/14/2021	12/13/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/13/2014	12/29/2015
Active	Government Employees Insurance Company	300376	Agent - Casualty	5/29/2025
Active	Government Employees Insurance Company	300376	Agent - Property	5/29/2025
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/5/2014	12/29/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/22/2021	12/13/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/13/2014	12/29/2015
Inactive	Humana Insurance Company	301104	Agent - Health	10/14/2021	12/13/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/13/2014	12/29/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/14/2021	12/13/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/22/2021	12/13/2022
Active	Midvale Indemnity Company	300292	Agent - Casualty	5/29/2025
Active	Midvale Indemnity Company	300292	Agent - Property	5/29/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/29/2020	7/31/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/14/2014	9/29/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/14/2014	9/29/2014
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/22/2024	1/13/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Extend Insurance Services LLC	625753	Agent - Health	8/30/2017	1/31/2018
Inactive	Extend Insurance Services LLC	625753	Agent - Life	8/30/2017	1/31/2018
Active	Geico Insurance Agency, LLC	558517	Agent - Casualty	6/16/2025
Active	Geico Insurance Agency, LLC	558517	Agent - Property	6/16/2025
Inactive	Optavise, LLC	671337	Agent - Health	10/8/2018	1/15/2019
Inactive	Optavise, LLC	671337	Agent - Life	10/8/2018	1/15/2019