DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jensen, Jeffrey H	DOIID	326046	NAIC NPN	254872

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/16/2009	7/31/2011
Inactive	Non Resident	Agent	Health	9/16/2009	7/31/2011
* 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	Minnesota Life Insurance Company	300488	Agent - Health	9/24/2009	11/12/2009
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	9/24/2009	11/12/2009
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	9/23/2009	7/31/2011
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	7/30/1997	11/1/1999
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	7/30/1997	11/1/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Life	10/6/2009	11/10/2009
Inactive	Financial Insurance Services, Inc.	514710	Agent - Health	10/6/2009	11/10/2009