DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Montgomery, Clifton	DOIID	642817	NAIC NPN	8861751

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/28/2020	9/30/2024
Inactive	Non Resident	Agent	Life	10/25/2006	6/11/2010
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/6/2020	2/22/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/27/2021	2/22/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/27/2021	2/22/2022
Inactive	Balboa Life Insurance Company	301327	Agent - Health	8/7/2009	3/1/2010
Inactive	Balboa Life Insurance Company	301327	Agent - Life	8/7/2009	3/1/2010
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/27/2021	2/22/2022
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	12/29/2006	5/13/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	12/29/2006	5/13/2008
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	12/14/2009	4/23/2010
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	12/14/2009	4/23/2010
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	11/22/2006	6/11/2010
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	1/7/2007	3/9/2010
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	1/7/2007	3/9/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	1/7/2007	3/9/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/7/2007	3/9/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Telespectrum Inc	604670	Agent - Life	4/10/2007	3/31/2009
Inactive	Telespectrum Inc	604670	Agent - Health	4/10/2007	3/31/2009
Inactive	e-Telequote Insurance, Inc.	687772	Agent - Life	12/8/2008	8/20/2009
Inactive	e-Telequote Insurance, Inc.	687772	Agent - Health	12/8/2008	8/20/2009