DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Montgomery, Derrick	DOIID	964325	NAIC NPN	18449078

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/22/2017	1/3/2020
Inactive	Non Resident	Agent	Casualty	8/22/2017	1/3/2020
* 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	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/23/2017	9/26/2019
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/23/2017	9/26/2019
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/23/2017	9/26/2019
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/23/2017	9/26/2019
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/23/2017	9/26/2019
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/23/2017	9/26/2019
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/23/2017	9/26/2019
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/23/2017	9/26/2019
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/23/2017	9/26/2019
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/23/2017	9/26/2019
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	8/23/2017	9/26/2019
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	8/23/2017	9/26/2019
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	8/23/2017	9/26/2019
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	8/23/2017	9/26/2019
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	8/23/2017	9/26/2019
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/23/2017	9/26/2019
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/23/2017	9/26/2019
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/23/2017	9/26/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nutmeg Insurance Agency, Inc.	502156	Agent - Property	9/27/2017	9/26/2019
Inactive	Nutmeg Insurance Agency, Inc.	502156	Agent - Casualty	9/27/2017	9/26/2019