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DEPARTMENT OF INSURANCE
Affiliations
Name
Montgomery, Kent
DOIID
955577
NAIC NPN
18415246
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
5/26/2017
11/30/2019
* 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
6/6/2017
5/12/2019
Inactive
Aetna Health and Life Insurance Company
300523
Agent - Health
6/12/2017
6/28/2018
Inactive
Aetna Life Insurance Company
301140
Agent - Health
6/6/2017
5/12/2019
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
6/14/2017
7/8/2018
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
6/12/2017
6/28/2018
Inactive
Dental Care Plus Inc.
301495
Agent - Health
7/13/2017
5/15/2018
Inactive
First Health Life & Health Insurance Company
301735
Agent - Health
6/6/2017
5/12/2019
Inactive
Humana Benefit Plan of Illinois, Inc.
781543
Agent - Health
6/15/2017
6/15/2018
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
6/15/2017
6/15/2018
Inactive
Humana Insurance Company
301104
Agent - Health
6/15/2017
2/15/2019
Inactive
Humana Medical Plan, Inc.
801568
Agent - Health
6/15/2017
6/15/2018
Inactive
Humana Wisconsin Health Organization Insurance Corporation
830687
Agent - Health
6/15/2017
2/15/2019
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
6/5/2017
6/28/2018
Inactive
UnitedHealthcare Insurance Company of America
301552
Agent - Health
6/5/2017
6/28/2018
Inactive
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
6/5/2017
6/28/2018
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 - Health
6/14/2017
7/9/2018
Inactive
Retiremed IQ, LLC
682484
Agent - Health
6/19/2017
9/21/2018
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