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	Life	12/15/2021	3/31/2027
Active	Non Resident	Agent	Health	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Withdrawn	Non Resident	Managing General Agent	Not Applicable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.

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