DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Montgomery, Stacey	DOIID	1340031	NAIC NPN	21068489

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/13/2024		1/31/2026
Active	Non Resident	Agent	Life	4/16/2025		1/31/2026
* 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
Agent	11/15/2025	01/31/2026

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	5/21/2024	10/30/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/29/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	5/29/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/21/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/21/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/21/2025
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	4/23/2025	5/9/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/21/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	10/7/2024
Active	Golden Rule Insurance Company	301943	Agent - Health	6/12/2025
Active	Golden Rule Insurance Company	301943	Agent - Life	6/12/2025
Inactive	Humana Insurance Company	301104	Agent - Health	12/9/2024	6/10/2025
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/16/2025	6/10/2025
Active	SilverScript Insurance Company	663526	Agent - Health	5/29/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/21/2025
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/21/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Gohealth LLC	691445	Agent - Health	2/17/2025