DEPARTMENT OF INSURANCE

Affiliations

Name	Jensen, Adam	DOIID	1055250	NAIC NPN	19278693

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	9/9/2019	10/31/2022
Inactive	Non Resident	Agent	Life	9/9/2019	10/31/2022
* 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 - Life	6/10/2020	12/14/2020
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	5/27/2020	12/5/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	4/17/2020	12/14/2020
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2020	12/5/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/27/2020	12/5/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	4/17/2020	12/14/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/11/2019	10/31/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	2/24/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	2/24/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/11/2019	2/24/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/11/2019	2/24/2022
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	1/29/2020	10/20/2020
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	2/24/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/17/2020	12/14/2020
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	2/10/2020	12/31/2020
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	2/10/2020	12/31/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/21/2019	10/20/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/4/2019	10/20/2020
Inactive	Humana Insurance Company	301104	Agent - Health	10/3/2019	10/20/2020
Inactive	Humana Insurance Company	301104	Agent - Life	10/3/2019	10/20/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	2/18/2020	10/20/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	5/27/2020	12/5/2020

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	9/19/2019	2/24/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/19/2019	10/31/2022