DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jurs, Justin	DOIID	874110	NAIC NPN	10693129

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/6/2015		9/30/2024
Active	Non Resident	Agent	Health	4/6/2015		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	8/19/2021
Active	Minnesota Life Insurance Company	300488	Agent - Health	11/17/2022
Active	Minnesota Life Insurance Company	300488	Agent - Life	11/17/2022
Inactive	Protective Life Insurance Company	300638	Agent - Health	9/21/2022	11/23/2023
Inactive	Protective Life Insurance Company	300638	Agent - Life	9/21/2022	11/23/2023
Active	United of Omaha Life Insurance Company	300156	Agent - Health	4/20/2023
Active	United of Omaha Life Insurance Company	300156	Agent - Life	4/20/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Jurs Montgomery Brokerage LLC	874203	Agent - Life	12/15/2021
Active	Jurs Montgomery Brokerage LLC	874203	Agent - Health	12/15/2021