DEPARTMENT OF INSURANCE

Affiliations

Name	Montgomery, Michael	DOIID	952502	NAIC NPN	17930806

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	4/26/2017	7/31/2024
Active	Non Resident	Agent	Health	4/26/2017	7/31/2024
* 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	05/15/2024	07/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	10/30/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	5/3/2017
Active	American General Life Insurance Company	301585	Agent - Health	4/5/2023
Active	American General Life Insurance Company	301585	Agent - Life	4/5/2023
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	10/6/2018	8/15/2020
Active	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	12/28/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/24/2018	11/24/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/24/2018	11/24/2020
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/6/2017	4/29/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/3/2017	5/29/2020
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	6/15/2020	9/27/2022
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	6/15/2020	9/27/2022
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	8/9/2019	8/30/2020
Active	Golden Rule Insurance Company	301943	Agent - Health	11/18/2022
Active	Golden Rule Insurance Company	301943	Agent - Life	11/18/2022
Inactive	Humana Insurance Company	301104	Agent - Health	4/27/2017	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	4/27/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/27/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/27/2017	6/8/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Health	12/19/2018	11/12/2022
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	5/18/2017	12/29/2018
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	11/15/2022
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/20/2019	5/7/2020
Active	National Health Insurance Company	300554	Agent - Health	11/30/2022
Active	National Health Insurance Company	300554	Agent - Life	11/30/2022
Inactive	Omaha Insurance Company	751908	Agent - Health	5/1/2017	3/22/2018
Inactive	United World Life Insurance Company	300532	Agent - Health	11/19/2018	5/7/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/2/2020	5/7/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/2/2020	5/7/2020
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	10/29/2022	12/22/2022

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	9/26/2018	9/27/2022
Active	Designated Agent Company Inc.	681257	Agent - Health	9/26/2018
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	11/12/2018	9/15/2021
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	11/12/2018	9/23/2020
Inactive	Ushealth Advisors Llc	713288	Agent - Life	6/15/2020	9/27/2022
Inactive	Ushealth Advisors Llc	713288	Agent - Health	6/15/2020	9/27/2022