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DEPARTMENT OF INSURANCE
Affiliations
Name
Montijo, Mary
DOIID
927159
NAIC NPN
18015946
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
8/31/2016
7/31/2022
Inactive
Non Resident
Agent
Life
8/31/2016
7/31/2022
* 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
Accendo Insurance Company
300312
Agent - Health
3/2/2022
7/31/2022
Inactive
Accendo Insurance Company
300312
Agent - Life
10/5/2020
7/31/2022
Inactive
Aetna Health Inc. (PA)
660717
Agent - Health
3/2/2022
7/31/2022
Inactive
Aetna Health and Life Insurance Company
300523
Agent - Health
8/26/2019
7/31/2022
Inactive
Aetna Health of Ohio Inc.
1065035
Agent - Health
3/2/2022
7/31/2022
Inactive
Aetna Life Insurance Company
301140
Agent - Health
3/2/2022
7/31/2022
Inactive
Aetna Life Insurance Company
301140
Agent - Life
9/9/2016
9/17/2020
Inactive
American Continental Insurance Company
643130
Agent - Life
8/26/2019
8/11/2021
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
7/18/2017
12/29/2017
Inactive
Anthem Life Insurance Company
301209
Agent - Health
7/22/2019
5/8/2020
Inactive
Anthem Life Insurance Company
301209
Agent - Life
7/22/2019
4/7/2020
Inactive
Arcadian Health Plan, Inc.
728196
Agent - Health
10/6/2020
4/20/2021
Inactive
CIGNA Health & Life Insurance Company
301783
Agent - Health
9/4/2016
7/31/2022
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
8/26/2019
7/31/2022
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Life
3/2/2022
7/31/2022
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
9/13/2016
6/8/2018
Inactive
First Health Life & Health Insurance Company
301735
Agent - Health
9/9/2016
9/17/2020
Inactive
Guardian Life Insurance Company of America
301316
Agent - Health
12/27/2017
7/31/2022
Inactive
Guardian Life Insurance Company of America
301316
Agent - Life
12/27/2017
7/31/2022
Inactive
Humana Benefit Plan of Illinois, Inc.
781543
Agent - Health
9/15/2020
4/20/2021
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
12/3/2019
3/24/2020
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
9/13/2016
12/10/2018
Inactive
Humana Insurance Company
301104
Agent - Health
12/31/2020
4/20/2021
Inactive
Humana Insurance Company
301104
Agent - Life
9/13/2016
5/9/2019
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
9/13/2016
6/8/2018
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
9/13/2016
6/8/2018
Inactive
Humana Wisconsin Health Organization Insurance Corporation
830687
Agent - Health
10/12/2016
6/8/2018
Inactive
Loyal American Life Insurance Company
301172
Agent - Health
9/23/2016
12/22/2020
Inactive
Medco Containment Life Insurance Company
301557
Agent - Health
10/28/2019
2/11/2020
Inactive
SilverScript Insurance Company
663526
Agent - Health
3/2/2022
7/31/2022
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
7/21/2019
1/3/2020
Inactive
UnitedHealthcare Insurance Company of America
301552
Agent - Health
8/9/2018
12/21/2018
Inactive
UnitedHealthcare Insurance Company of the River Valley
1027817
Agent - Health
8/6/2019
1/3/2020
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
7/21/2019
1/3/2020
Inactive
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
7/21/2019
1/3/2020
Inactive
WellCare Health Insurance Company of Kentucky, Inc.
301478
Agent - Health
12/17/2019
12/30/2021
Inactive
WellCare Prescription Insurance Inc.
654329
Agent - Health
10/25/2017
9/20/2022
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Designated Agent Company Inc.
681257
Agent - Life
7/22/2019
7/31/2022
Inactive
Designated Agent Company Inc.
681257
Agent - Health
7/22/2019
7/31/2022
Inactive
Extend Insurance Services, LLC
625753
Agent - Life
7/1/2019
1/6/2020
Inactive
Extend Insurance Services, LLC
625753
Agent - Health
7/1/2019
1/6/2020
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