DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Montgomery, Joan M	DOIID	866738	NAIC NPN	7810091

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/23/2015		9/30/2026
Active	Non Resident	Agent	Life	1/23/2015		9/30/2026
* 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	8/29/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/29/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	8/29/2024
Active	American General Life Insurance Company	301585	Agent - Health	10/23/2016
Active	American General Life Insurance Company	301585	Agent - Life	10/23/2016
Active	SilverScript Insurance Company	663526	Agent - Health	8/29/2024
Active	United States Life Insurance Company in the City of New York	301126	Agent - Health	10/23/2016
Active	United States Life Insurance Company in the City of New York	301126	Agent - Life	10/23/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Insurance Administrators Llc	395814	Agent - Life	10/23/2016
Active	American Insurance Administrators Llc	395814	Agent - Health	10/23/2016
Active	Usi Insurance Services LLC	669260	Agent - Life	10/23/2016
Active	Usi Insurance Services LLC	669260	Agent - Health	10/23/2016