DEPARTMENT OF INSURANCE

Affiliations

Name	Ethos Technologies Inc. DBA : ETHOS LIFE INSURANCE SERVICES	DOIID	934675	NAIC NPN	18166550

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	5/8/2019		3/31/2028
Active	Non Resident	Agent	Life	10/26/2016		3/31/2028
Active	Non Resident	Agent	Health	3/22/2021		3/31/2028
Inactive	Non Resident	Agent	Casualty	3/22/2021	1/3/2022
Inactive	Non Resident	Agent	Property	3/22/2021	1/3/2022
* 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
Administrator	01/15/2026	03/31/2026	02/12/2026	02/12/2026	Yes
Agent	01/15/2026	03/31/2026	01/20/2026	01/20/2026	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AAA Life Insurance Company	300287	Agent - Life	9/1/2020	2/16/2023
Active	Ameritas Life Insurance Corporation	300126	Agent - Life	1/5/2026
Active	Assurity Life Insurance Company	301099	Agent - Health	12/29/2021
Active	Assurity Life Insurance Company	301099	Agent - Life	9/26/2017
Active	Banner Life Insurance Company	301696	Agent - Life	7/15/2019
Active	CMFG Life Insurance Company	300929	Agent - Life	8/4/2020
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	3/13/2024	5/16/2024
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	6/30/2024
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	6/30/2024
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	8/18/2022
Active	North American Company for Life and Health Insurance	300291	Agent - Life	8/31/2025
Active	Principal National Life Insurance Company	301926	Agent - Life	10/14/2020
Active	Senior Life Insurance Company	558267	Agent - Life	1/24/2022
Active	Tier One Insurance Company	301056	Agent - Health	7/31/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Abbe, Ethan	1039048	Agent - Health
Active	Abbe, Ethan	1039048	Agent - Life	2/10/2026
Pending	Axberg, Brian J	1106170	Agent - Health
Active	Axberg, Brian J	1106170	Agent - Life	2/10/2026
Active	Bastyr, Ryne	992633	Agent - Health	2/10/2026
Active	Bastyr, Ryne	992633	Agent - Life	2/10/2026
Pending	Batchelor, Kaleb	748574	Agent - Health
Pending	Batchelor, Kaleb	748574	Agent - Life
Pending	Black, Kris A	762036	Agent - Health
Pending	Black, Kris A	762036	Agent - Life
Active	Brea, Daylin	901531	Agent - Health	2/10/2026
Active	Brea, Daylin	901531	Agent - Life	2/10/2026
Active	Carter, Jamaal	736251	Agent - Health	2/10/2026
Active	Carter, Jamaal	736251	Agent - Life	2/10/2026
Active	Chavez, Michael Andrew	985549	Agent - Health	2/10/2026
Active	Chavez, Michael Andrew	985549	Agent - Life	2/10/2026
Inactive	Clark, Joshua Edward	1010470	Agent - Casualty	3/22/2021	1/3/2022
Inactive	Clark, Joshua Edward	1010470	Agent - Health	3/22/2021	1/3/2022
Inactive	Clark, Joshua Edward	1010470	Agent - Life	3/22/2021	1/3/2022
Inactive	Clark, Joshua Edward	1010470	Agent - Property	3/22/2021	1/3/2022
Inactive	Colis, Peter George	931524	Administrator - Not Applicable	5/8/2019	3/28/2023
Inactive	Colis, Peter George	931524	Agent - Life	10/26/2016	1/3/2022
Denied	Cooper, Shane A	1126321	Agent - Casualty
Inactive	Cooper, Shane A	1126321	Agent - Health	12/29/2021	11/8/2022
Inactive	Cooper, Shane A	1126321	Agent - Life	1/3/2022	11/8/2022
Denied	Cooper, Shane A	1126321	Agent - Property
Pending	Coulter, John	1322886	Agent - Health
Active	Coulter, John	1322886	Agent - Life	2/10/2026
Pending	Davis, Phillip	710372	Agent - Health
Inactive	Davis, Phillip	710372	Agent - Life	2/10/2026	2/12/2026
Active	Dietschy, Steven Joesph	700751	Agent - Health	2/10/2026
Active	Dietschy, Steven Joesph	700751	Agent - Life	2/10/2026
Active	Dobbins, Jacob C	1185528	Agent - Health	2/9/2026
Active	Dobbins, Jacob C	1185528	Agent - Life	12/28/2025
Pending	Dorsey, Seriozha Simone	905961	Agent - Health
Active	Dorsey, Seriozha Simone	905961	Agent - Life	2/10/2026
Active	Duggan, John Patrick	1073936	Agent - Health	2/10/2026
Active	Duggan, John Patrick	1073936	Agent - Life	2/10/2026
Pending	Evans, Keisha	1160738	Agent - Health
Pending	Evans, Keisha	1160738	Agent - Life
Pending	Ewing, Baeleit	381262	Agent - Health
Pending	Ewing, Baeleit	381262	Agent - Life
Pending	Ferranti, Sarai Margarite	841543	Agent - Health
Active	Ferranti, Sarai Margarite	841543	Agent - Life	2/10/2026
Pending	Forbes, Preston	1335913	Agent - Health
Pending	Forbes, Preston	1335913	Agent - Life
Pending	Fulkerson, Michael Gene	900613	Agent - Health
Pending	Fulkerson, Michael Gene	900613	Agent - Life
Pending	Graf, Eric G	805360	Agent - Health
Pending	Graf, Eric G	805360	Agent - Life
Active	Hedges, Dustin Michael	931405	Agent - Health	2/10/2026
Active	Hedges, Dustin Michael	931405	Agent - Life	2/10/2026
Active	Hedges, Matthew Brandon	931825	Agent - Health	2/10/2026
Pending	Hedges, Matthew Brandon	931825	Agent - Life
Pending	Heilman, Damon	1121146	Agent - Health
Active	Heilman, Damon	1121146	Agent - Life	2/10/2026
Pending	Hudnall, Barry Joseph	895011	Agent - Health
Pending	Hudnall, Barry Joseph	895011	Agent - Life
Pending	Iboa, Jonathan	1152079	Agent - Health
Active	Iboa, Jonathan	1152079	Agent - Life	2/10/2026
Active	Jones, Peter P	995954	Agent - Health	2/10/2026
Active	Jones, Peter P	995954	Agent - Life	2/10/2026
Active	Kennedy, Michael Douglas	1016163	Agent - Health	2/10/2026
Active	Kennedy, Michael Douglas	1016163	Agent - Life	2/10/2026
Active	Kerby, Lisa Ann	639765	Agent - Health	2/10/2026
Active	Kerby, Lisa Ann	639765	Agent - Life	2/10/2026
Pending	Lomeli, Rafael Alfredo	969568	Agent - Health
Pending	Lomeli, Rafael Alfredo	969568	Agent - Life
Active	Lopez, Laura Aniz	730290	Agent - Health	2/10/2026
Active	Lopez, Laura Aniz	730290	Agent - Life	2/10/2026
Pending	Mallen, Isabella	1442284	Agent - Health
Pending	Mallen, Isabella	1442284	Agent - Life
Pending	Mancilla, Jorge Ivan	1002762	Agent - Health
Pending	Mancilla, Jorge Ivan	1002762	Agent - Life
Pending	Mansell, Ross William	750228	Agent - Health
Pending	Mansell, Ross William	750228	Agent - Life
Active	Marshall, Joanne Mical	1399792	Agent - Life	2/10/2026
Pending	Mcgee, Ryan L	728743	Agent - Health
Pending	Mcgee, Ryan L	728743	Agent - Life
Pending	Merchent, Patrick M	992356	Agent - Health
Pending	Merchent, Patrick M	992356	Agent - Life
Pending	Montero, Adrian Michael	763790	Agent - Health
Pending	Montero, Adrian Michael	763790	Agent - Life
Pending	Montgomery, Eric Kyle	873756	Agent - Health
Pending	Montgomery, Eric Kyle	873756	Agent - Life
Pending	Mosson, Tanner L	1165797	Agent - Health
Pending	Mosson, Tanner L	1165797	Agent - Life
Active	Mould, Michael Thomas	644002	Administrator - Not Applicable	4/25/2023
Active	Mould, Michael Thomas	644002	Agent - Health	11/9/2022
Active	Mould, Michael Thomas	644002	Agent - Life	11/9/2022
Active	Muhs, Marc	801173	Agent - Health	2/10/2026
Active	Muhs, Marc	801173	Agent - Life	2/10/2026
Active	Murray, Terri D	831611	Agent - Health	2/10/2026
Active	Murray, Terri D	831611	Agent - Life	2/10/2026
Active	Ogle, Steven Michael	739051	Agent - Health	2/10/2026
Active	Ogle, Steven Michael	739051	Agent - Life	2/10/2026
Pending	Padgett, Nicholas A	831036	Agent - Health
Active	Padgett, Nicholas A	831036	Agent - Life	2/10/2026
Active	Perillo, Nicholas	1042319	Agent - Health	2/10/2026
Active	Perillo, Nicholas	1042319	Agent - Life	2/10/2026
Active	Pierce, Scott Evan	1153960	Agent - Health	2/10/2026
Active	Pierce, Scott Evan	1153960	Agent - Life	2/10/2026
Active	Pineda, Thomas	1155000	Agent - Health	2/10/2026
Active	Pineda, Thomas	1155000	Agent - Life	2/10/2026
Pending	Reich, Shane Eric	1067268	Agent - Health
Pending	Reich, Shane Eric	1067268	Agent - Life
Pending	Reiss, Evan T	1415457	Agent - Health
Pending	Reiss, Evan T	1415457	Agent - Life
Pending	Rivera Sanchez, Jonathan Stiven	1057723	Agent - Health
Pending	Rivera Sanchez, Jonathan Stiven	1057723	Agent - Life
Active	Rojas, Seth	1028653	Agent - Health	2/10/2026
Active	Rojas, Seth	1028653	Agent - Life	2/10/2026
Active	Sanchez, Gabriel Omar	1103400	Agent - Health	2/10/2026
Pending	Sanchez, Gabriel Omar	1103400	Agent - Life
Active	Schadegg, Michael Carl	894185	Agent - Health	2/10/2026
Active	Schadegg, Michael Carl	894185	Agent - Life	2/10/2026
Active	Searcy, Shani Olisa	1437922	Agent - Health	2/10/2026
Pending	Searcy, Shani Olisa	1437922	Agent - Life
Pending	Shapiro, Benjamin Ernest	969226	Agent - Health
Pending	Shapiro, Benjamin Ernest	969226	Agent - Life
Pending	Sledge, Brian A	1379700	Agent - Health
Pending	Sledge, Brian A	1379700	Agent - Life
Active	Tellup, Rebecca Michelle	999037	Agent - Health	2/10/2026
Pending	Tellup, Rebecca Michelle	999037	Agent - Life
Active	Teweles, Josh A	851160	Agent - Health	2/10/2026
Active	Teweles, Josh A	851160	Agent - Life	2/10/2026
Pending	Truitt, Justin	1335401	Agent - Health
Pending	Truitt, Justin	1335401	Agent - Life
Pending	Veit, Colleen	1402090	Agent - Health
Active	Veit, Colleen	1402090	Agent - Life	2/10/2026
Pending	Vooris, Adam	1008607	Agent - Health
Pending	Vooris, Adam	1008607	Agent - Life
Active	Wang, Lingke	931525	Agent - Health	2/10/2026
Active	Wang, Lingke	931525	Agent - Life	2/10/2026
Active	Watson, Joshua	955673	Agent - Health	2/10/2026
Active	Watson, Joshua	955673	Agent - Life	2/10/2026
Active	Williams-Howard, Kimberly	1158707	Agent - Health	2/10/2026
Pending	Williams-Howard, Kimberly	1158707	Agent - Life
Active	Woodruff, Michael Joe	830976	Agent - Health	2/10/2026
Active	Woodruff, Michael Joe	830976	Agent - Life	2/10/2026
Active	Youel, Esho	1442475	Agent - Health	2/10/2026
Active	Youel, Esho	1442475	Agent - Life	2/10/2026
Active	Zich, Matthew Thomas	892659	Agent - Health	2/10/2026
Active	Zich, Matthew Thomas	892659	Agent - Life	2/10/2026