DEPARTMENT OF INSURANCE
Affiliations
NameJorgensen, Michael DOIID364408NAIC NPN270354
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife10/19/20174/30/2023 
InactiveNon ResidentAgentVariable Life and Variable Annuities2/12/20214/30/2023 
InactiveNon ResidentAgentHealth10/19/20174/30/2023 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Life10/16/20209/15/2022
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities3/31/20219/15/2022
InactiveAmerican General Life Insurance Company301585Agent - Health8/26/20214/30/2023
InactiveAmerican General Life Insurance Company301585Agent - Life8/26/20214/30/2023
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities8/26/20214/30/2023
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health12/4/199812/11/2002
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life12/4/199812/11/2002
InactiveAmerican National Insurance Company301861Agent - Life9/8/20215/15/2023
InactiveCMFG Life Insurance Company300929Agent - Health2/12/20229/8/2022
InactiveCMFG Life Insurance Company300929Agent - Life2/12/20229/8/2022
InactiveCMFG Life Insurance Company300929Agent - Variable Life and Variable Annuities2/12/20229/8/2022
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life7/12/20214/30/2023
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities7/12/20214/30/2023
InactiveMEMBERS Life Insurance Company301289Agent - Health2/12/20229/8/2022
InactiveMEMBERS Life Insurance Company301289Agent - Life2/12/20229/8/2022
InactiveMEMBERS Life Insurance Company301289Agent - Variable Life and Variable Annuities2/12/20229/8/2022
InactiveNationwide Life Insurance Company300495Agent - Health6/19/199812/14/2000
InactiveNationwide Life Insurance Company300495Agent - Life6/19/199812/14/2000
InactivePrincipal National Life Insurance Company301926Agent - Life9/27/20194/30/2023
InactiveSecurity Benefit Life Insurance Company300583Agent - Health1/27/19997/31/2000
InactiveSecurity Benefit Life Insurance Company300583Agent - Life1/27/19997/31/2000
InactiveTalcott Resolution Life Insurance Company301759Agent - Health7/28/19996/30/2003
InactiveTalcott Resolution Life Insurance Company301759Agent - Life7/28/19996/30/2003
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health7/28/19996/30/2003
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life7/28/19996/30/2003
InactiveUSG Annuity & Life Company300457Agent - Life8/11/199910/22/2001
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Health10/19/19986/30/2003
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life10/19/19986/30/2003
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAvantax Insurance Agency, LLC398671Agent - Life5/5/20214/30/2023
InactiveAvantax Insurance Agency, LLC398671Agent - Health8/26/20214/30/2023
InactiveAvantax Insurance Agency, LLC398671Agent - Variable Life and Variable Annuities5/5/20214/30/2023
InactiveAvantax Insurance Services Inc399632Agent - Life6/3/20214/30/2023
InactiveAvantax Insurance Services Inc399632Agent - Health8/26/20214/30/2023
InactiveAvantax Insurance Services Inc399632Agent - Variable Life and Variable Annuities6/3/20214/30/2023
InactiveAvantax Planning Partners Inc757240Agent - Life6/3/20214/30/2023
InactiveAvantax Planning Partners Inc757240Agent - Health8/26/20214/30/2023

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