DEPARTMENT OF INSURANCE

Affiliations

Name	Griffin, Monty Glen	DOIID	969002	NAIC NPN	8914424

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/21/2017	6/25/2020
Inactive	Non Resident	Agent	Health	9/21/2017	6/25/2020
Active	Non Resident	Staff Adjuster	Property & Casualty	6/8/2020		7/31/2025
* 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
Staff Adjuster	05/15/2025	07/31/2025

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	8/15/2018	6/25/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	4/26/2019	6/25/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/15/2018	6/25/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/15/2018	6/25/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/28/2018	6/25/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/28/2018	6/25/2020
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	1/17/2018	4/19/2018
Inactive	CMFG Life Insurance Company	300929	Agent - Health	10/3/2017	1/18/2018
Inactive	CMFG Life Insurance Company	300929	Agent - Life	10/3/2017	1/18/2018
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/26/2019	6/25/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/17/2018	4/19/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/15/2018	6/25/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/17/2018	4/19/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/17/2018	4/19/2018
Inactive	Humana Insurance Company	301104	Agent - Health	11/1/2019	4/21/2020
Inactive	Humana Insurance Company	301104	Agent - Life	1/17/2018	4/19/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/17/2018	4/19/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/17/2018	4/19/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/17/2018	4/19/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	1/17/2018	4/19/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	1/17/2019	6/25/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/8/2019	5/7/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	5/7/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/8/2019	5/7/2020
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/8/2019	5/7/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	6/25/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	eHealthInsurance Services Inc.	514105	Agent - Life	5/31/2019	3/27/2020
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	5/31/2019	3/27/2020