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
POLICY BULL

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
FIDELITY & GUARANTY LIFE INSURANCE COMPANY
02/09/2026 LHF168
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
JUSTIN ELLIS BACA
04/24/2026 PRN372927
RYNE BASTYR
11/23/2025 PRN534161
KALEB BATCHELOR
04/16/2025 PRN187500
VALERIE ELAINE BECKETT
03/10/2022 PRN104586
COLE BRIAN BELT
03/06/2026 PRN542314
KRIS A. BLACK
01/15/2026 PRN215584
CARDRENA ELAINE BRINSON
04/08/2026 PRN545331
SCOTT BROWN
07/03/2026 PRN387092
WILLIAM CARMELIA
04/05/2024 PRN481018
EDGAR DANIEL CELIS
05/19/2026 PRN549164
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
WILLIAM ROBERT FIECHTER
04/03/2026 PRN379818
BRANDON DALE FLEER
05/06/2026 PRN456529
PRESTON FORBES
10/31/2025 PRN532240
DAVID GARBARSKIY
04/24/2026 PRN546903
RUBEN GONZALEZ
04/07/2026 PRN545213
ERIC G. GRAF
01/16/2026 PRN205579
DAMON HEILMAN
01/07/2023 PRN441131
TAYLOR JOSEPH HERSHBERGER
06/04/2026 PRN550522
ERIKA MARCHELLE JONES
02/24/2022 PRN411517
GAVAN LANGER
05/09/2026 PRN548236
MICHAEL JAMES LEITH
06/22/2023 PRN148278
DAYLIN MAAS
08/15/2024 PRN491918
MASON MARTINEZ
05/07/2026 PRN548048
TAYLOR MATTHEWS
03/09/2026 PRN542480
GEORGE M. MCFADDEN
04/24/2026 PRN546922
RYAN L. MCGEE
12/19/2025 PRN536249
PATRICK M. MERCHENT
05/23/2025 PRN375845
TANNER L. MOSSON
07/25/2025 PRN399581
MICHAEL THOMAS MOULD
02/17/2026 PRN133458
FREDERICK JOHN JAMES NOEL
04/24/2026 PRN546909
GARRETT KEITH PHILBECK
10/31/2025 PRN532252
EVAN T. REISS
11/04/2025 PRN532396
BRYCE RICHARDSON
05/09/2026 PRN548277
JONATHAN STIVEN RIVERA SANCHEZ
12/08/2025 PRN339552
TROY LAWRENCE ROBERTS
02/23/2022 PRN411362
ADAM TAYLOR SAN-NICOLAS
05/16/2026 PRN548989
SHANI OLISA SEARCY
12/09/2025 PRN535092
WILLIAM HAROLD SMITH
07/04/2024 PRN401206
BRIAN JOSEPH SUCHMAN
04/10/2026 PRN545603
RYAN THOMPSON
04/09/2026 PRN545455
PAUL TOSCANO
07/03/2026 PRN379784
AMANDA TRAYLOR
06/13/2026 PRN442414
COLLEEN VEIT
05/28/2025 PRN516628
JENNIFER LOREN VELA
07/03/2026 PRN553156
ADAM VOORIS
04/26/2024 PRN482741
MATTHEW CHRISTOPHER WELLS
05/01/2026 PRN547550
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
JAKE C. DOBBINS PRN409484

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: 07/05/2026 02:23:35 PM