DEPARTMENT OF INSURANCE

Affiliations

Name	Montgomery, Michael	DOIID	952502	NAIC NPN	17930806

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	4/26/2017	7/31/2024
Inactive	Non Resident	Agent	Health	4/26/2017	7/31/2024
* 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	Accendo Insurance Company	300312	Agent - Life	6/10/2020	10/30/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	5/3/2017	7/31/2024
Inactive	American General Life Insurance Company	301585	Agent - Health	4/5/2023	7/31/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	4/5/2023	7/31/2024
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	10/6/2018	8/15/2020
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	12/28/2023	7/31/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/24/2018	11/24/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/24/2018	11/24/2020
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/6/2017	4/29/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/3/2017	5/29/2020
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	6/15/2020	9/27/2022
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	6/15/2020	9/27/2022
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	8/9/2019	8/30/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/18/2022	8/3/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/18/2022	8/3/2024
Inactive	Humana Insurance Company	301104	Agent - Health	4/27/2017	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	4/27/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/27/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/27/2017	6/8/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Health	12/19/2018	11/12/2022
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	5/18/2017	12/29/2018
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	11/15/2022	7/31/2024
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/20/2019	5/7/2020
Inactive	National Health Insurance Company	300554	Agent - Health	11/30/2022	7/31/2024
Inactive	National Health Insurance Company	300554	Agent - Life	11/30/2022	7/31/2024
Inactive	Omaha Insurance Company	751908	Agent - Health	5/1/2017	3/22/2018
Inactive	United World Life Insurance Company	300532	Agent - Health	11/19/2018	5/7/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/2/2020	5/7/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/2/2020	5/7/2020
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	10/29/2022	12/22/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	9/26/2018	9/27/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/26/2018	7/31/2024
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	11/12/2018	9/15/2021
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	11/12/2018	9/23/2020
Inactive	Ushealth Advisors Llc	713288	Agent - Life	6/15/2020	9/27/2022
Inactive	Ushealth Advisors Llc	713288	Agent - Health	6/15/2020	9/27/2022