DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Montes, Edda Lee	DOIID	737724	NAIC NPN	15935567

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	10/11/2021		7/31/2027
Active	Non Resident	Agent	Life	10/11/2021		7/31/2027
Active	Non Resident	Agent	Casualty	10/11/2021		7/31/2027
Active	Non Resident	Agent	Health	10/11/2021		7/31/2027
* 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	05/15/2025	07/31/2025	05/12/2025	05/12/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/3/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/3/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	11/3/2021
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/12/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/1/2010	11/16/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/1/2010	11/16/2012
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/26/2012	5/13/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/26/2012	5/13/2013
Inactive	Humana Insurance Company	301104	Agent - Health	11/26/2012	5/13/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/26/2012	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/1/2010	11/16/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/1/2010	11/16/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/12/2012	7/31/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	11/12/2012	7/31/2013
Active	SilverScript Insurance Company	663526	Agent - Health	11/3/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/12/2025
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/4/2012	5/7/2013
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/12/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Good Faith Insurance Services Property & Casualty	1165920	Agent - Health	10/12/2021
Active	Good Faith Insurance Services Property & Casualty	1165920	Agent - Life	10/12/2021
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	10/26/2010	7/31/2013