DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jensen, Brent W	DOIID	366619	NAIC NPN	688693

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	General Lines	11/13/1996	1/20/1998
Inactive	Non Resident	Agent	Life	4/5/2004	2/28/2005
Inactive	Non Resident	Agent	Health	4/5/2004	2/28/2005
Inactive	Non Resident	Agent	Property	4/5/2004	2/28/2005
Inactive	Non Resident	Agent	Casualty	4/5/2004	2/28/2005
* 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	4/16/2004	11/12/2004
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	4/16/2004	11/12/2004
Inactive	Standard Guaranty Insurance Company	300902	Agent - General Lines	11/13/1996	1/20/1998
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	4/5/2004	2/28/2005
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	4/5/2004	2/28/2005
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	1/7/1997	3/16/2001
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	1/7/1997	3/16/2001
Inactive	Union Security Life Insurance Company	300903	Agent - Health	11/12/1996	1/20/1998
Inactive	Union Security Life Insurance Company	300903	Agent - Life	11/12/1996	1/20/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Securian Financial Network, Inc	400561	Agent - Life	6/18/2004	10/18/2004
Inactive	Securian Financial Network, Inc	400561	Agent - Health	6/18/2004	10/18/2004
Inactive	Securian Financial Network, Inc	400561	Agent - Casualty	6/18/2004	10/18/2004
Inactive	Securian Financial Network, Inc	400561	Agent - Property	6/18/2004	10/18/2004