DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jourgensen, Michael Alan	DOIID	1131968	NAIC NPN	19873574

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Life	4/29/2021		4/30/2025
Pending Replacement	Non Resident	Agent	Health	4/29/2021		4/30/2025
* 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	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Accendo Insurance Company	300312	Agent - Life	9/24/2024
Pending Replacement	Aetna Health and Life Insurance Company	300523	Agent - Health	9/24/2024
Pending Replacement	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	9/6/2024
Pending Replacement	CareSource Kentucky Co.	838179	Agent - Health	9/23/2024
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/24/2024
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	9/24/2024
Pending Replacement	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	9/11/2024
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	5/3/2021	9/9/2024
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	5/3/2021	9/9/2024
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	2/11/2025	3/26/2025
Pending Replacement	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/7/2024
Pending Replacement	Mutual of Omaha Insurance Company	301012	Agent - Health	1/20/2025
Pending Replacement	United Home Life Insurance Company	300421	Agent - Life	9/9/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	5/3/2021	9/9/2024
Inactive	Ushealth Advisors Llc	713288	Agent - Health	5/3/2021	9/9/2024