DEPARTMENT OF INSURANCE
Affiliations
NameMontgomery, Kent DOIID955577NAIC NPN18415246
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth5/26/201711/30/2019 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health6/6/20175/12/2019
InactiveAetna Health and Life Insurance Company300523Agent - Health6/12/20176/28/2018
InactiveAetna Life Insurance Company301140Agent - Health6/6/20175/12/2019
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/14/20177/8/2018
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health6/12/20176/28/2018
InactiveDental Care Plus Inc.301495Agent - Health7/13/20175/15/2018
InactiveFirst Health Life & Health Insurance Company301735Agent - Health6/6/20175/12/2019
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health6/15/20176/15/2018
InactiveHumana Health Plan, Inc.300142Agent - Health6/15/20176/15/2018
InactiveHumana Insurance Company301104Agent - Health6/15/20172/15/2019
InactiveHumana Medical Plan, Inc.801568Agent - Health6/15/20176/15/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health6/15/20172/15/2019
InactiveUnitedHealthcare Insurance Company300946Agent - Health6/5/20176/28/2018
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health6/5/20176/28/2018
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health6/5/20176/28/2018
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health6/14/20177/9/2018
InactiveRetiremed IQ, LLC682484Agent - Health6/19/20179/21/2018

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