DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jensen, Michelle M	DOIID	384947	NAIC NPN	242691

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/15/2000	1/31/2024
Inactive	Non Resident	Agent	General Lines	10/20/1995	8/15/2000
Inactive	Non Resident	Agent	Casualty	8/15/2000	1/31/2024
* 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	AMEX Assurance Company	301728	Agent - Casualty	8/15/2000	5/21/2007
Inactive	AMEX Assurance Company	301728	Agent - General Lines	10/20/1995	8/15/2000
Inactive	AMEX Assurance Company	301728	Agent - Property	8/15/2000	5/21/2007
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	7/25/2006	1/18/2024
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	7/25/2006	1/18/2024
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	5/3/2012	8/7/2019
Inactive	American Modern Home Insurance Company	300791	Agent - Property	5/3/2012	8/7/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	5/3/2012	8/7/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Property	5/3/2012	8/7/2019
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	5/3/2012	8/7/2019
Inactive	American Southern Home Insurance Company	626276	Agent - Property	5/3/2012	8/7/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - General Lines	11/18/1996	3/31/1998
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	11/18/1996	8/15/2000
Inactive	Progressive Northwestern Insurance Company	300441	Agent - General Lines	11/18/1996	8/15/2000
Inactive	RLI Insurance Company	301217	Agent - Casualty	4/10/2012	8/6/2019
Inactive	RLI Insurance Company	301217	Agent - Property	4/10/2012	8/6/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	2/9/2012	1/18/2024
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	2/9/2012	1/18/2024
Inactive	Ameriprise Financial Services, LLC	398326	Agent - Property	3/21/2012	10/12/2016
Inactive	Ameriprise Financial Services, LLC	398326	Agent - Casualty	3/21/2012	10/12/2016