DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2025	12/31/2025

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