black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ETHOS TECHNOLOGIES INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN288058
Status:
First Licensure:
06/09/2017
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
1606 HEADWAY CIR STE 9013
AUSTIN, TX 78754-5123
Mailing:
1606 HEADWAY CIR STE 9013
AUSTIN, TX 78754-5123
Phone:
+1 (415) 322-2037
Fax:
+1 (415) 332-2037
Email:
agentlicensing@getethos.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 06/09/2017 04/01/2027

Alias, DBA or Trade Name

Name
ETHOS LIFE INSURANCE SERVICES

Employer

Name Issue Date License Number Expiration Date Cancel Date
AAA LIFE INSURANCE COMPANY
09/02/2020 LHF881
AMERITAS LIFE INSURANCE CORP
09/29/2020 LHF944
ASSURITY LIFE INSURANCE COMPANY
09/26/2017 LHF179
BANNER LIFE INSURANCE COMPANY
07/15/2019 LHF50047
CMFG LIFE INSURANCE COMPANY
08/04/2020 LHF155
JOHN HANCOCK LIFE INSURANCE COMPANY (USA)
06/30/2024 LHF210
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA
08/18/2022 PCF527

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
ETHAN ABBE
12/19/2024 PRN376010
BRIAN J. AXBERG
10/08/2024 PRN497884
KALEB BATCHELOR
04/16/2025 PRN187500
VALERIE ELAINE BECKETT
03/10/2022 PRN104586
WILLIAM CARMELIA
04/05/2024 PRN481018
JOSHUA EDWARD CLARK
09/19/2018 PRN317340
JOHN COULTER
02/08/2024 PRN475907
DAMON HEILMAN
01/07/2023 PRN441131
ERIKA MARCHELLE JONES
02/24/2022 PRN411517
MICHAEL JAMES LEITH
06/22/2023 PRN148278
DAYLIN MAAS
08/15/2024 PRN491918
PATRICK M. MERCHENT
05/23/2025 PRN375845
TROY LAWRENCE ROBERTS
02/23/2022 PRN411362
WILLIAM HAROLD SMITH
07/04/2024 PRN401206
COLLEEN VEIT
05/28/2025 PRN516628
ADAM VOORIS
04/26/2024 PRN482741
KIMBERLY WILLIAMS-HOWARD
09/15/2021 PRN395763
ERIC LANCE ZAYES
01/16/2025 PRN505757

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
MICHAEL THOMAS MOULD PRN133458

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18166550

Other Phone Numbers

Phone Number Type
+1 (415) 322-2037 Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 06/17/2025 03:51:51 PM