DEPARTMENT OF INSURANCE

Affiliations

Name	Jensen, Jon A	DOIID	912379	NAIC NPN	5634255

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	4/11/2016	11/30/2024
Active	Non Resident	Agent	Casualty	4/11/2016	11/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Home Insurance Company	301817	Agent - Casualty	1/23/2024
Active	American Family Home Insurance Company	301817	Agent - Property	1/23/2024
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	1/19/2023
Active	Auto-Owners Insurance Company	301480	Agent - Property	1/19/2023
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Active	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	9/15/2022
Active	FCCI Insurance Company	557454	Agent - Casualty	5/10/2016
Active	FCCI Insurance Company	557454	Agent - Property	5/10/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/9/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/9/2024
Inactive	Hartford Insurance Company of Illinois	1014405	Agent - Casualty	4/19/2021	7/21/2023
Inactive	Hartford Insurance Company of Illinois	1014405	Agent - Property	4/19/2021	7/21/2023
Active	Hartford Underwriters Insurance Company	301064	Agent - Casualty	4/5/2021
Active	Hartford Underwriters Insurance Company	301064	Agent - Property	4/5/2021
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Active	Owners Insurance Company	300796	Agent - Casualty	1/19/2023
Active	Owners Insurance Company	300796	Agent - Property	1/19/2023
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	9/26/2023
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	9/26/2023
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Correll Insurance Group LLC	721992	Agent - Property	5/10/2016
Active	Correll Insurance Group LLC	721992	Agent - Casualty	5/10/2016