DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Montez Jr, Peter Jimenez	DOIID	392516	NAIC NPN	2698805

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	12/22/1994	7/1/1996
Inactive	Resident	Agent	Life	12/22/1994	7/1/1996
* 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	American Benefit Life Insurance Company	301002	Agent - Health	5/24/1995	7/1/1996
Inactive	American Benefit Life Insurance Company	301002	Agent - Life	5/24/1995	7/1/1996
Inactive	Union Bankers Insurance Company	301769	Agent - Health	12/22/1994	7/1/1996
Inactive	Union Bankers Insurance Company	301769	Agent - Life	12/22/1994	7/1/1996
Inactive	United American Insurance Company	300910	Agent - Health	2/27/1995	7/1/1996
Inactive	United American Insurance Company	300910	Agent - Life	2/27/1995	7/1/1996
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/8/1995	7/1/1996
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/8/1995	7/1/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	7/1/1996