DEPARTMENT OF INSURANCE

Affiliations

Name	Jurs Montgomery Brokerage LLC	DOIID	874203	NAIC NPN	15794143

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	12/15/2021	3/31/2027
Active	Non Resident	Agent	Life	12/15/2021	3/31/2027
Withdrawn	Non Resident	Managing General Agent	Not Applicable
* 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	01/15/2025	03/31/2025	02/25/2025	02/25/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Life Insurance Company	301585	Agent - Life	6/19/2019	3/31/2021
Inactive	American National Insurance Company	301861	Agent - Life	3/19/2020	3/31/2021
Inactive	Banner Life Insurance Company	301696	Agent - Life	2/7/2022	2/16/2024
Active	Berkshire Life Insurance Company of America	300983	Agent - Health	12/20/2021
Active	Berkshire Life Insurance Company of America	300983	Agent - Life	12/20/2021
Active	EquiTrust Life Insurance Company	502870	Agent - Life	6/23/2023
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Health	3/8/2021	3/31/2021
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	3/8/2021	3/31/2021
Active	Gerber Life Insurance Company	300529	Agent - Health	6/13/2022
Active	Gerber Life Insurance Company	300529	Agent - Life	6/13/2022
Active	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Health	12/20/2021
Active	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	12/20/2021
Active	Guardian Life Insurance Company of America	301316	Agent - Health	12/20/2021
Active	Guardian Life Insurance Company of America	301316	Agent - Life	12/20/2021
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	10/9/2023
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	10/9/2023
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	7/24/2023
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	7/24/2023
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/19/2023
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/19/2023
Active	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	7/6/2022
Active	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	2/16/2023
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	5/7/2015	3/31/2021
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	5/7/2015	3/31/2021
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	4/25/2023	2/28/2024
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	4/25/2023	2/28/2024
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	8/1/2023
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	8/1/2023
Active	New York Life Insurance Company	300431	Agent - Health	2/8/2023
Active	New York Life Insurance Company	300431	Agent - Life	2/8/2023
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Health	2/8/2023
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Life	2/8/2023
Inactive	Pacific Life Insurance Company	301848	Agent - Life	12/21/2018	3/31/2021
Active	Protective Life Insurance Company	300638	Agent - Health	9/17/2023
Active	Protective Life Insurance Company	300638	Agent - Life	9/17/2023
Active	Pruco Life Insurance Company	300954	Agent - Health	4/7/2022
Active	Pruco Life Insurance Company	300954	Agent - Life	4/7/2022
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 Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allen, Matthew Lee	633462	Agent - Health	8/9/2023
Active	Allen, Matthew Lee	633462	Agent - Life	8/9/2023
Active	Chatterton, Elizabeth	882818	Agent - Health	7/7/2022
Active	Chatterton, Elizabeth	882818	Agent - Life	7/7/2022
Inactive	Ford, Callie Meagan	810075	Agent - Health	3/30/2021	3/31/2021
Inactive	Ford, Callie Meagan	810075	Agent - Life	3/30/2021	3/31/2021
Inactive	Freeman, Devon	880831	Agent - Health	3/17/2020	3/31/2021
Inactive	Freeman, Devon	880831	Agent - Life	3/17/2020	3/31/2021
Active	Gabriel, Aaron Reiss	1135721	Agent - Health	2/24/2023
Inactive	Gabriel, Aaron Reiss	1135721	Agent - Life	2/24/2023	4/17/2024
Active	Gaines, Brandon Joseph	671205	Agent - Health	7/7/2022
Active	Gaines, Brandon Joseph	671205	Agent - Life	7/7/2022
Inactive	Hoag, Tina Nicole	1090399	Agent - Health	3/30/2021	3/31/2021
Inactive	Hoag, Tina Nicole	1090399	Agent - Life	3/30/2021	3/31/2021
Active	Jurs, Justin	874110	Agent - Health	12/15/2021
Active	Jurs, Justin	874110	Agent - Life	12/15/2021
Inactive	Kull, Mark Elliott	568549	Agent - Health	3/17/2020	3/31/2021
Inactive	Kull, Mark Elliott	568549	Agent - Life	3/17/2020	3/31/2021
Active	Polanco, Jeffrey	1113731	Agent - Health	12/22/2021
Active	Polanco, Jeffrey	1113731	Agent - Life	12/22/2021
Inactive	Todd, Jeffrey C	305699	Agent - Health	11/4/2020	3/31/2021
Inactive	Todd, Jeffrey C	305699	Agent - Life	11/4/2020	3/31/2021
Active	Yancey, William David	858107	Agent - Health	5/4/2022
Active	Yancey, William David	858107	Agent - Life	5/4/2022