DEPARTMENT OF INSURANCE

Affiliations

Name	Ethos Technologies Inc. DBA : Policy Bull, 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	Health	3/22/2021		3/31/2028
Active	Non Resident	Agent	Life	10/26/2016		3/31/2028
Inactive	Non Resident	Agent	Property	3/22/2021	1/3/2022
Inactive	Non Resident	Agent	Casualty	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.

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
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	2/9/2026
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
Denied	Abbe, Ethan	1039048	Agent - Health
Active	Abbe, Ethan	1039048	Agent - Life	2/10/2026
Denied	Axberg, Brian J	1106170	Agent - Health
Inactive	Axberg, Brian J	1106170	Agent - Life	2/10/2026	8/19/2026
Pending	Baca, Justin Ellis	1141408	Agent - Health
Active	Baca, Justin Ellis	1141408	Agent - Life	8/19/2026
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
Denied	Black, Kris A	762036	Agent - Health
Denied	Black, Kris A	762036	Agent - Life
Active	Blecha, Joshua E	961702	Agent - Health	8/19/2026
Active	Blecha, Joshua E	961702	Agent - Life	8/19/2026
Inactive	Brea, Daylin	901531	Agent - Health	2/10/2026	8/19/2026
Inactive	Brea, Daylin	901531	Agent - Life	2/10/2026	8/19/2026
Active	Brinson, Cardrena Elaine	1456120	Agent - Health	8/19/2026
Active	Brinson, Cardrena Elaine	1456120	Agent - Life	8/20/2026
Pending	Byars, Matthew Allen	1237024	Agent - Health
Pending	Byars, Matthew Allen	1237024	Agent - Life
Pending	Carbonell, Chelsea Elizabeth	1286551	Agent - Health
Active	Carbonell, Chelsea Elizabeth	1286551	Agent - Life	8/19/2026
Active	Carpenter, Brian Patrick	704685	Agent - Health	8/19/2026
Active	Carpenter, Brian Patrick	704685	Agent - Life	8/19/2026
Inactive	Carter, Jamaal	736251	Agent - Health	2/10/2026	8/19/2026
Inactive	Carter, Jamaal	736251	Agent - Life	2/10/2026	8/19/2026
Pending	Celis, Edgar Daniel	1462769	Agent - Life
Active	Chavez, Michael Andrew	985549	Agent - Health	2/10/2026
Active	Chavez, Michael Andrew	985549	Agent - Life	2/10/2026
Active	Chlimoun, Elie	1121644	Agent - Health	8/19/2026
Active	Chlimoun, Elie	1121644	Agent - Life	8/19/2026
Pending	Chung, Nicholas Joongkuen	729767	Agent - Health
Pending	Chung, Nicholas Joongkuen	729767	Agent - Life
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
Pending	Collins, Alex Edward	1468940	Agent - Life
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
Denied	Coulter, John	1322886	Agent - Health
Active	Coulter, John	1322886	Agent - Life	2/10/2026
Pending	Coyne, Christopher J	1125920	Agent - Health
Pending	Coyne, Christopher J	1125920	Agent - Life
Active	Cummings, Barrington Anthony	860453	Agent - Health	8/19/2026
Pending	Cummings, Barrington Anthony	860453	Agent - Life
Denied	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
Denied	Dorsey, Seriozha Simone	905961	Agent - Health
Inactive	Dorsey, Seriozha Simone	905961	Agent - Life	2/10/2026	5/28/2026
Pending	Draheim, Gerald Thomas	1263759	Agent - Health
Pending	Draheim, Gerald Thomas	1263759	Agent - Life
Inactive	Duggan, John Patrick	1073936	Agent - Health	2/10/2026	8/19/2026
Inactive	Duggan, John Patrick	1073936	Agent - Life	2/10/2026	8/19/2026
Denied	Evans, Keisha	1160738	Agent - Health
Denied	Evans, Keisha	1160738	Agent - Life
Denied	Ewing, Baeleit	381262	Agent - Health
Active	Ewing, Baeleit	381262	Agent - Life	4/7/2026
Pending	Ewing, Colin Barrington	1470326	Agent - Health
Pending	Ewing, Colin Barrington	1470326	Agent - Life
Denied	Ferranti, Sarai Margarite	841543	Agent - Health
Active	Ferranti, Sarai Margarite	841543	Agent - Life	2/10/2026
Active	Fiechter, William Robert	1151730	Agent - Health	8/19/2026
Pending	Fiechter, William Robert	1151730	Agent - Life
Pending	Fleer, Brandon Dale	1284740	Agent - Health
Active	Fleer, Brandon Dale	1284740	Agent - Life	8/28/2026
Pending	Forbes, Preston	1335913	Agent - Health
Active	Forbes, Preston	1335913	Agent - Life	8/19/2026
Active	Ford, Bonita	1205263	Agent - Health	8/19/2026
Active	Ford, Bonita	1205263	Agent - Life	8/19/2026
Active	Frye, Lane B	584660	Agent - Health	8/19/2026
Pending	Frye, Lane B	584660	Agent - Life
Denied	Fulkerson, Michael Gene	900613	Agent - Health
Denied	Fulkerson, Michael Gene	900613	Agent - Life
Pending	Gamez, Maria	1294711	Agent - Health
Pending	Gamez, Maria	1294711	Agent - Life
Pending	Garbarskiy, David	1458834	Agent - Health
Pending	Garbarskiy, David	1458834	Agent - Life
Pending	Gonzalez, Roberto Fausto	1229111	Agent - Health
Pending	Gonzalez, Roberto Fausto	1229111	Agent - Life
Pending	Gonzalez, Ruben	1455914	Agent - Health
Pending	Gonzalez, Ruben	1455914	Agent - Life
Pending	Graf, Eric G	805360	Agent - Health
Pending	Graf, Eric G	805360	Agent - Life
Inactive	Hedges, Dustin Michael	931405	Agent - Health	2/10/2026	8/19/2026
Inactive	Hedges, Dustin Michael	931405	Agent - Life	2/10/2026	8/19/2026
Active	Hedges, Matthew Brandon	931825	Agent - Health	2/10/2026
Denied	Hedges, Matthew Brandon	931825	Agent - Life
Denied	Heilman, Damon	1121146	Agent - Health
Active	Heilman, Damon	1121146	Agent - Life	2/10/2026
Pending	Hershberger, Taylor Joseph	1465265	Agent - Health
Pending	Hershberger, Taylor Joseph	1465265	Agent - Life
Denied	Hudnall, Barry Joseph	895011	Agent - Health
Denied	Hudnall, Barry Joseph	895011	Agent - Life
Denied	Iboa, Jonathan	1152079	Agent - Health
Active	Iboa, Jonathan	1152079	Agent - Life	2/10/2026
Active	Jimenez, Michael	1089154	Agent - Health	8/19/2026
Active	Jimenez, Michael	1089154	Agent - Life	8/19/2026
Pending	Jones, Peter P	995954	Agent - Health
Pending	Jones, Peter P	995954	Agent - Life
Active	Juhnke, Gage	1032189	Agent - Health	8/19/2026
Pending	Juhnke, Gage	1032189	Agent - Life
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
Active	Kim, Kyong Hun	781970	Agent - Health	8/19/2026
Active	Kim, Kyong Hun	781970	Agent - Life	8/19/2026
Active	Langer, Gavan	1121674	Agent - Health	8/19/2026
Active	Langer, Gavan	1121674	Agent - Life	8/19/2026
Denied	Lomeli, Rafael Alfredo	969568	Agent - Health
Denied	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
Denied	Mallen, Isabella	1442284	Agent - Health
Active	Mallen, Isabella	1442284	Agent - Life	5/20/2026
Denied	Mancilla, Jorge Ivan	1002762	Agent - Health
Active	Mancilla, Jorge Ivan	1002762	Agent - Life	5/14/2026
Pending	Mansell, Ross William	750228	Agent - Health
Pending	Mansell, Ross William	750228	Agent - Life
Inactive	Marshall, Joanne Mical	1399792	Agent - Life	2/10/2026	8/10/2026
Pending	Martinez, Mason	1460802	Agent - Life
Active	Matthews, Taylor	1032801	Agent - Health	8/19/2026
Active	Matthews, Taylor	1032801	Agent - Life	8/19/2026
Pending	May, Jacob T	1376842	Agent - Health
Active	May, Jacob T	1376842	Agent - Life	8/19/2026
Active	Mayweather, Shayla	1089253	Agent - Health	8/19/2026
Active	Mayweather, Shayla	1089253	Agent - Life	8/19/2026
Pending	Mcfadden, George M	1458870	Agent - Health
Active	Mcfadden, George M	1458870	Agent - Life	8/19/2026
Denied	Mcgee, Ryan L	728743	Agent - Health
Active	Mcgee, Ryan L	728743	Agent - Life	2/6/2026
Active	Mcneil, Patrick T	1130392	Agent - Health	8/19/2026
Active	Mcneil, Patrick T	1130392	Agent - Life	8/19/2026
Denied	Merchent, Patrick M	992356	Agent - Health
Inactive	Merchent, Patrick M	992356	Agent - Life	3/17/2026	3/19/2026
Denied	Montero, Adrian Michael	763790	Agent - Health
Active	Montero, Adrian Michael	763790	Agent - Life	2/26/2026
Pending	Montgomery, Eric Kyle	873756	Agent - Health
Pending	Montgomery, Eric Kyle	873756	Agent - Life
Denied	Mosson, Tanner L	1165797	Agent - Health
Denied	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
Inactive	Muhs, Marc	801173	Agent - Health	2/10/2026	8/19/2026
Inactive	Muhs, Marc	801173	Agent - Life	2/10/2026	8/19/2026
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
Denied	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
Active	Pointer, Trevoy	1388721	Agent - Health	8/19/2026
Active	Pointer, Trevoy	1388721	Agent - Life	8/19/2026
Active	Radcliffe, Jermaine	1120977	Agent - Health	8/19/2026
Pending	Radcliffe, Jermaine	1120977	Agent - Life
Pending	Reich, Shane Eric	1067268	Agent - Health
Active	Reich, Shane Eric	1067268	Agent - Life	8/5/2026
Pending	Reiss, Evan T	1415457	Agent - Health
Pending	Reiss, Evan T	1415457	Agent - Life
Pending	Richardson, Bryce	1312221	Agent - Health
Active	Richardson, Bryce	1312221	Agent - Life	8/19/2026
Pending	Rivera Sanchez, Jonathan Stiven	1057723	Agent - Health
Pending	Rivera Sanchez, Jonathan Stiven	1057723	Agent - Life
Active	Robinson, Jennifer M	1470086	Agent - Health	8/19/2026
Active	Robinson, Jennifer M	1470086	Agent - Life	8/19/2026
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
Denied	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
Pending	Schuller, Robin Lynn	1476356	Agent - Health
Active	Schuller, Robin Lynn	1476356	Agent - Life	8/19/2026
Active	Searcy, Shani Olisa	1437922	Agent - Health	2/10/2026
Denied	Searcy, Shani Olisa	1437922	Agent - Life
Pending	Sedita, Glenn Joseph	1067246	Agent - Health
Pending	Sedita, Glenn Joseph	1067246	Agent - Life
Pending	Shapiro, Benjamin Ernest	969226	Agent - Health
Pending	Shapiro, Benjamin Ernest	969226	Agent - Life
Pending	Sledge, Brian A	1379700	Agent - Health
Active	Sledge, Brian A	1379700	Agent - Life	8/19/2026
Active	Tellup, Rebecca Michelle	999037	Agent - Health	2/10/2026
Active	Tellup, Rebecca Michelle	999037	Agent - Life	4/30/2026
Pending	Teweles, Josh A	851160	Agent - Health
Pending	Teweles, Josh A	851160	Agent - Life
Active	Thompson, Ryan	816299	Agent - Health	8/19/2026
Pending	Thompson, Ryan	816299	Agent - Life
Active	Toscano, Paul	1128051	Agent - Health	8/19/2026
Pending	Toscano, Paul	1128051	Agent - Life
Active	Traylor, Amanda	1245719	Agent - Health	8/19/2026
Active	Traylor, Amanda	1245719	Agent - Life	8/19/2026
Pending	Truitt, Justin	1335401	Agent - Health
Pending	Truitt, Justin	1335401	Agent - Life
Pending	Vaughn, Matthew David	1476358	Agent - Health
Active	Vaughn, Matthew David	1476358	Agent - Life	8/19/2026
Denied	Veit, Colleen	1402090	Agent - Health
Active	Veit, Colleen	1402090	Agent - Life	2/10/2026
Active	Vela, Jennifer Loren	1470137	Agent - Life	8/19/2026
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
Pending	Wells, Matthew Christopher	1120978	Agent - Health
Active	Wells, Matthew Christopher	1120978	Agent - Life	8/19/2026
Inactive	Williams-Howard, Kimberly	1158707	Agent - Health	2/10/2026	8/19/2026
Denied	Williams-Howard, Kimberly	1158707	Agent - Life
Pending	Wilson, Nichole Dawn	842118	Agent - Health
Pending	Wilson, Nichole Dawn	842118	Agent - Life
Inactive	Woodruff, Michael Joe	830976	Agent - Health	2/10/2026	8/19/2026
Inactive	Woodruff, Michael Joe	830976	Agent - Life	2/10/2026	8/19/2026
Inactive	Youel, Esho	1442475	Agent - Health	2/10/2026	4/16/2026
Active	Youel, Esho	1442475	Agent - Life	2/10/2026
Inactive	Zich, Matthew Thomas	892659	Agent - Health	2/10/2026	2/26/2026
Active	Zich, Matthew Thomas	892659	Agent - Life	2/10/2026