PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameMontgomery, Jetia DOIID1163308NAIC NPN20065057
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentHealth10/1/2021 10/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202510/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health12/19/202210/30/2024
InactiveAetna Health of Ohio Inc.1065035Agent - Health12/19/202210/30/2024
InactiveAetna Life Insurance Company301140Agent - Health12/19/202210/30/2024
Pending ReplacementAnthem Health Plans of Kentucky, Inc.300999Agent - Health12/20/2022 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health12/20/202212/19/2024
Pending ReplacementAnthem Insurance Companies, Inc.300941Agent - Health12/20/2022 
InactiveArcadian Health Plan, Inc.728196Agent - Health2/5/202410/15/2025
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health12/4/20228/28/2025
Pending ReplacementCompcare Health Services Insurance Corporation948751Agent - Health12/20/2022 
Pending ReplacementDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health10/7/2024 
InactiveHumana Insurance Company301104Agent - Health2/2/202410/15/2025
InactiveHumana Medical Plan, Inc.801568Agent - Health12/12/202310/15/2025
InactiveSierra Health and Life Insurance Company Inc.300357Agent - Health10/26/20248/28/2025
InactiveSilverScript Insurance Company663526Agent - Health12/19/202210/30/2024
InactiveUnitedHealthcare Insurance Company300946Agent - Health12/4/20228/28/2025
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health12/4/20228/28/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Pending Replacemente-Telequote Insurance, Inc.687772Agent - Health4/15/2025 

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