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
NORTH AMERICAN COMPANY FOR LIFE AND HEALTH INSURANCE
08/31/2025 LHF231
TIER ONE INSURANCE COMPANY
07/31/2025 LHF952

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
ETHAN ABBE
12/19/2024 PRN376010
BRIAN J. AXBERG
10/08/2024 PRN497884
RYNE BASTYR
11/23/2025 PRN534161
KALEB BATCHELOR
04/16/2025 PRN187500
VALERIE ELAINE BECKETT
03/10/2022 PRN104586
KRIS A. BLACK
01/15/2026 PRN215584
WILLIAM CARMELIA
04/05/2024 PRN481018
JOSHUA EDWARD CLARK
09/19/2018 PRN317340
JOHN COULTER
02/08/2024 PRN475907
JAKE C. DOBBINS
11/21/2025 PRN409484
BAELEIT EWING
09/20/2025 PRN56374
PRESTON FORBES
10/31/2025 PRN532240
ERIC G. GRAF
01/16/2026 PRN205579
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
RYAN L. MCGEE
12/19/2025 PRN536249
PATRICK M. MERCHENT
05/23/2025 PRN375845
TANNER L. MOSSON
07/25/2025 PRN399581
GARRETT KEITH PHILBECK
10/31/2025 PRN532252
EVAN T. REISS
11/04/2025 PRN532396
JONATHAN STIVEN RIVERA SANCHEZ
12/08/2025 PRN339552
TROY LAWRENCE ROBERTS
02/23/2022 PRN411362
SHANI OLISA SEARCY
12/09/2025 PRN535092
WILLIAM HAROLD SMITH
07/04/2024 PRN401206
COLLEEN VEIT
05/28/2025 PRN516628
ADAM VOORIS
04/26/2024 PRN482741
NATHAN WILLIAMS
12/15/2025 PRN535781
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: 02/09/2026 01:02:42 AM