DEPARTMENT OF INSURANCE

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	Life	1/23/2015		9/30/2024
Active	Non Resident	Agent	Health	1/23/2015		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
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	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