DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jorgensen, Tyler	DOIID	1045242	NAIC NPN	18908020

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/27/2020	11/30/2021
Inactive	Non Resident	Agent	Health	6/24/2019	11/30/2021
* 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	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/30/2021
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	11/30/2021
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/10/2019	11/30/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/10/2019	11/30/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/29/2020	11/30/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/10/2019	11/30/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/27/2020	2/17/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	12/4/2020	7/15/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/10/2019	11/30/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	5/7/2021	11/30/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/10/2020	7/15/2021
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/14/2021	7/15/2021
Inactive	Humana Insurance Company	301104	Agent - Health	10/31/2019	7/15/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	11/30/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/9/2020	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/9/2020	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Clear Link Ins Agency LLC	805173	Agent - Health	8/6/2019	10/27/2021
Inactive	Clear Link Ins Agency LLC	805173	Agent - Life	6/10/2020	10/27/2021