DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jorgenson, Thomas Jason	DOIID	977372	NAIC NPN	17944072

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/22/2017	5/31/2021
Pending Replacement	Non Resident	Agent	Life	3/2/2022		5/31/2025
* 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	9/20/2023	3/4/2024
Inactive	American General Life Insurance Company	301585	Agent - Health	12/26/2017	5/31/2021
Inactive	American General Life Insurance Company	301585	Agent - Life	5/19/2024	5/24/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/2/2019	5/31/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/2/2019	5/31/2021
Inactive	Aspen American Insurance Company	301513	Agent - Health	12/18/2019	12/1/2020
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	3/16/2022	9/28/2022
Pending Replacement	Gerber Life Insurance Company	300529	Agent - Life	3/28/2023
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	2/17/2023	12/13/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/28/2017	5/6/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/28/2017	5/6/2021
Inactive	LifeShield National Insurance Company	737111	Agent - Health	8/19/2019	5/31/2021
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/23/2022	4/21/2025
Inactive	Pruco Life Insurance Company	300954	Agent - Life	7/31/2023	3/26/2025
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/10/2023	3/28/2025
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/6/2023	3/17/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/5/2019	5/31/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/5/2019	5/31/2021
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	9/10/2019	5/31/2021