DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Montgomery, Davian Isaiah	DOIID	952950	NAIC NPN	18389662

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/1/2017	8/31/2019
Inactive	Non Resident	Agent	Life	5/1/2017	8/31/2019
* 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	6/12/2019	8/31/2019
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	5/12/2017	8/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/12/2019	8/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/12/2019	8/31/2019
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	1/4/2019	4/17/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/12/2017	8/31/2019
Inactive	Humana Insurance Company	301104	Agent - Health	6/30/2017	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	6/30/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/30/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/30/2017	6/8/2018
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	5/12/2017	12/29/2018
Inactive	United World Life Insurance Company	300532	Agent - Health	4/24/2018	10/20/2019
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/14/2017	10/20/2019
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/14/2017	10/20/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ensurem II LLC	908041	Agent - Life	10/22/2018	12/21/2018
Inactive	Ensurem II LLC	908041	Agent - Health	10/22/2018	12/21/2018
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	4/17/2018	11/12/2018
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	4/17/2018	11/12/2018