DEPARTMENT OF INSURANCE

Affiliations

Name	Montgomery, Charles Anthony	DOIID	376201	NAIC NPN	5930866

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	10/4/1982	11/1/2008
Inactive	Resident	Agent	Health	10/4/1982	11/1/2008
Inactive	Resident	Agent	Health Maintenance Organization	9/11/1996	1/4/1999
* 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	Ability Insurance Company	301013	Agent - Health	3/9/1993	3/31/1997
Inactive	Ability Insurance Company	301013	Agent - Life	3/9/1993	3/31/1997
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/9/1999	11/1/2008
Inactive	Aetna Life Insurance Company	301140	Agent - Life	2/9/1999	11/1/2008
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	1/20/2004	11/1/2008
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/20/2004	11/1/2008
Inactive	American Continental Insurance Company	643130	Agent - Health	4/16/2007	11/1/2008
Inactive	American Continental Insurance Company	643130	Agent - Life	4/16/2007	11/1/2008
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	3/12/2007	11/1/2008
Inactive	American National Insurance Company	301861	Agent - Life	7/13/1994	11/1/2008
Inactive	American Network Insurance Company	301156	Agent - Health	11/13/2000	2/25/2002
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/24/2003	11/1/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/24/2003	11/1/2008
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	8/11/1992	12/23/1996
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	8/11/1992	12/23/1996
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	9/11/1996	1/4/1999
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	12/15/1995	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	12/15/1995	3/31/1997
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Health	11/6/2002	12/27/2003
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Life	11/6/2002	12/27/2003
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	1/6/1994	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	1/6/1994	3/31/1997
Inactive	Commonwealth National Life Insurance Company	300829	Agent - Health	12/19/1995	3/31/1997
Inactive	Commonwealth National Life Insurance Company	300829	Agent - Life	12/19/1995	3/31/1997
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/6/2000	8/9/2004
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/6/2000	8/9/2004
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	1/23/1997	1/2/2002
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	1/23/1997	1/2/2002
Inactive	Continental Casualty Company	301019	Agent - Health	9/1/1994	10/29/2002
Inactive	Continental General Insurance Company	300691	Agent - Health	12/13/1999	8/15/2003
Inactive	Continental General Insurance Company	300691	Agent - Life	12/13/1999	8/15/2003
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/16/2007	12/12/2008
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/16/2007	12/12/2008
Inactive	First National Life Insurance Company	300833	Agent - Health	8/26/1996	2/14/1997
Inactive	First National Life Insurance Company	300833	Agent - Life	8/26/1996	2/14/1997
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	1/27/1998	10/22/2002
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	1/27/1998	10/22/2002
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/24/2003	11/1/2008
Inactive	Humana Insurance Company	301104	Agent - Health	2/24/2003	11/1/2008
Inactive	Humana Insurance Company	301104	Agent - Life	2/24/2003	11/1/2008
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	9/6/1994	1/22/2003
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	9/6/1994	1/22/2003
Inactive	Inter-State Assurance Company	301556	Agent - Life	5/3/1993	10/16/1998
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	10/6/1992	5/20/1999
Inactive	John Alden Life Insurance Company	300573	Agent - Health	12/7/1995	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	12/7/1995	3/31/1997
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/25/2002	12/29/2008
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	11/1/2008
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	11/1/2008
Inactive	Life Insurance Company of Alabama	301439	Agent - Health	9/20/2002	11/1/2008
Inactive	Life Insurance Company of Alabama	301439	Agent - Life	9/20/2002	11/1/2008
Inactive	LifeUSA Insurance Company	300386	Agent - Health	12/12/1989	3/4/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	12/12/1989	3/4/2002
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	5/2/2003	9/12/2007
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	5/2/2003	9/12/2007
Inactive	MedAmerica Insurance Company	301568	Agent - Health	11/4/2003	11/1/2008
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/14/2007	11/1/2008
Inactive	National Foundation Life Insurance Company	300084	Agent - Health	3/21/1996	3/31/1997
Inactive	National Foundation Life Insurance Company	300084	Agent - Life	3/21/1996	3/31/1997
Inactive	National States Insurance Company	300579	Agent - Health	9/7/1994	3/31/1997
Inactive	National States Insurance Company	300579	Agent - Life	9/7/1994	3/31/1997
Inactive	National Western Life Insurance Company	301515	Agent - Health	10/11/1994	3/31/1997
Inactive	National Western Life Insurance Company	301515	Agent - Life	10/11/1994	3/31/1997
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	2/14/2007	11/1/2008
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	2/14/2007	11/1/2008
Inactive	Order of United Commercial Travelers of America	301723	Agent - Life	11/18/1996	3/11/2002
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	12/28/1995	12/21/1999
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	12/28/1995	12/21/1999
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	11/16/1988	7/1/2003
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	11/16/1988	7/1/2003
Inactive	Principal Life Insurance Company	300129	Agent - Health	11/11/1998	11/30/2003
Inactive	Principal Life Insurance Company	300129	Agent - Life	11/11/1998	11/30/2003
Inactive	Reassure America Life Insurance Company	300678	Agent - Health	11/30/1993	3/31/1997
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	3/24/1997	1/3/2003
Inactive	Reassure America Life Insurance Company	300678	Agent - Life	11/30/1993	3/31/1997
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	3/24/1997	1/3/2003
Inactive	SILAC Insurance Company	300535	Agent - Health	11/13/2003	2/14/2005
Inactive	SILAC Insurance Company	300535	Agent - Life	11/13/2003	2/14/2005
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	8/1/2006	11/1/2008
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	8/1/2006	10/24/2007
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	9/22/1999	1/22/2007
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	9/22/1999	1/22/2007
Inactive	Time Insurance Company	300683	Agent - Health	2/5/2001	1/28/2005
Inactive	Time Insurance Company	300683	Agent - Life	2/5/2001	1/28/2005
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	11/19/1990	1/19/1999
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/19/1990	1/19/1999
Inactive	Trustmark Insurance Company	300317	Agent - Health	7/31/1996	12/31/1998
Inactive	Trustmark Insurance Company	300317	Agent - Life	7/31/1996	12/31/1998
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	3/31/1997	6/18/2003
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	3/31/1997	11/15/2002
Inactive	Union Bankers Insurance Company	301769	Agent - Health	5/25/1995	6/12/1998
Inactive	Union Bankers Insurance Company	301769	Agent - Life	5/25/1995	6/12/1998
Inactive	United American Insurance Company	300910	Agent - Health	10/4/1982	2/19/2003
Inactive	United American Insurance Company	300910	Agent - Life	10/4/1982	2/19/2003
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	12/6/2002	12/19/2008
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	12/6/2002	12/19/2008
Inactive	United World Life Insurance Company	300532	Agent - Health	3/14/2007	11/1/2008
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/14/2007	11/1/2008
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/14/2007	11/1/2008
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/8/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/8/1995	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Health	3/27/1992	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Life	3/27/1992	3/31/1997
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	3/24/1997	11/17/2000
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	3/24/1997	11/17/2000
Inactive	Wilco Life Insurance Company	300122	Agent - Health	9/6/1988	3/31/1997
Inactive	Wilco Life Insurance Company	300122	Agent - Life	9/6/1988	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Western Kentucky Inc.	401302	Agent - Life	1/19/1996	5/31/2003
Inactive	Acordia of Western Kentucky Inc.	401302	Agent - Health	1/19/1996	5/31/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	9/18/2003	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	9/18/2003	6/23/2008
Inactive	McConnell Insurance Agency Inc.	400140	Agent - Life	2/20/2004	11/1/2008
Inactive	McConnell Insurance Agency Inc.	400140	Agent - Health	2/20/2004	11/1/2008
Denied	Medlink Inc	400721	Agent - Life
Inactive	Medlink Inc	400721	Agent - Health	5/16/2002	11/1/2008
Inactive	Risk and Technology Advisors Inc.	580500	Agent - Life	12/15/2003	3/5/2007
Inactive	Risk and Technology Advisors Inc.	580500	Agent - Health	12/15/2003	3/5/2007
Inactive	West Kentucky Group Benefits	401049	Agent - Life	12/28/1998	2/24/2003
Inactive	West Kentucky Group Benefits	401049	Agent - Health	12/28/1998	2/24/2003