DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jorgensen, Timothy Brian	DOIID	1223427	NAIC NPN	20324312

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/16/2022		5/31/2025
Active	Non Resident	Agent	Health	8/16/2022		5/31/2025
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American General Life Insurance Company	301585	Agent - Health	3/26/2024
Active	American General Life Insurance Company	301585	Agent - Life	3/26/2024
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	8/24/2022	11/7/2022
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	8/24/2022	11/7/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	11/2/2022	2/1/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/2/2022	2/1/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	8/24/2022	11/7/2022
Inactive	Ushealth Advisors Llc	713288	Agent - Health	8/24/2022	11/7/2022
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	10/25/2022	1/31/2024
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	10/25/2022	1/31/2024