DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jensen Sr, Dana Michael	DOIID	1015729	NAIC NPN	18935176

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/19/2018		12/31/2025
Active	Non Resident	Agent	Health	10/19/2018		12/31/2025
* 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	AXIS Insurance Company	301290	Agent - Health	1/17/2020	11/2/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/23/2019	7/24/2020
Active	American Financial Security Life Insurance Co.	301635	Agent - Health	10/27/2023
Inactive	Aspen American Insurance Company	301513	Agent - Health	11/20/2019	9/29/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/1/2019	8/3/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	3/1/2019	8/3/2023
Inactive	Continental American Insurance Company	301700	Agent - Health	2/22/2019	10/2/2019
Inactive	Continental American Insurance Company	301700	Agent - Life	2/22/2019	10/2/2019
Active	Federal Insurance Company	301144	Agent - Health	10/17/2022
Inactive	Federal Life Insurance Company	300945	Agent - Health	12/9/2022	6/28/2024
Active	Guarantee Trust Life Insurance Company	301043	Agent - Health	3/13/2023
Active	Guarantee Trust Life Insurance Company	301043	Agent - Life	3/13/2023
Inactive	Reserve National Insurance Company	301073	Agent - Health	9/9/2019	12/26/2019
Inactive	Reserve National Insurance Company	301073	Agent - Life	9/9/2019	12/26/2019
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	10/24/2019	9/30/2021
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	2/3/2020	12/22/2021
Active	United States Fire Insurance Company	582240	Agent - Health	12/6/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	10/18/2019	4/28/2022