DEPARTMENT OF INSURANCE

Name	Jensen, Dale I	DOIID	542643	NAIC NPN	3316159

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	12/12/2001	7/31/2020
Inactive	Non Resident	Agent	Casualty	4/27/2006	7/31/2020
Inactive	Non Resident	Agent	Property	4/27/2006	7/31/2020
Inactive	Non Resident	Agent	Life	12/12/2001	7/31/2020

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	545 Fox Ln Carmel, IN 460325093
Residence	Not Public Information

Internet Information

Type	Address
Business Email	djensen@primecorinc.com

Phone Information

Type	Phone
Business / Home Office	(317) 564-0145