DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Backman, Jevyn K	DOIID	1157773	NAIC NPN	8712620

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	9/9/2021		8/31/2026
Active	Non Resident	Agent	Travel	9/9/2021		8/31/2026
Active	Non Resident	Agent	Casualty	9/9/2021		8/31/2026
* 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
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Casualty	9/26/2022
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Property	9/26/2022
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Casualty	9/26/2022
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Property	9/26/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Propel Insurance Agency , LLC	536922	Agent - Casualty	10/18/2023
Active	Propel Insurance Agency , LLC	536922	Agent - Property	10/18/2023