DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jensen, Daniel M	DOIID	332005	NAIC NPN	1484967

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	10/19/1993	12/1/2000
Inactive	Resident	Agent	Health Maintenance Organization	5/4/1995	6/2/1999
Inactive	Resident	Agent	General Lines	12/16/1993	8/15/2000
Inactive	Resident	Agent	Life	10/19/1993	12/1/2000
* 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	American National General Insurance Company	301944	Agent - General Lines	12/16/1993	8/15/2000
Inactive	American National Insurance Company	301861	Agent - Health	10/19/1993	12/1/2000
Inactive	American National Insurance Company	301861	Agent - Life	10/19/1993	12/1/2000
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	10/19/1993	12/28/1998
Inactive	American National Life Insurance Company of Texas	300912	Agent - Life	10/19/1993	12/28/1998
Inactive	American National Property and Casualty Company	300392	Agent - General Lines	12/16/1993	8/15/2000
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	5/4/1995	6/2/1999
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/24/1995	5/4/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/24/1995	5/4/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	12/5/1994	12/1/2000
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	12/5/1994	12/1/2000