DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Stephens, Jeremy Lane	DOIID	1208066	NAIC NPN	20348641

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	8/4/2022		8/31/2026
Active	Resident	Agent	Casualty	8/4/2022		8/31/2026
Active	Resident	Surplus Lines Broker	Not Applicable	10/11/2022		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
Inactive	Everest Denali Insurance Company	941054	Agent - Casualty	9/1/2022	4/4/2025
Inactive	Everest Denali Insurance Company	941054	Agent - Property	9/1/2022	4/4/2025
Inactive	Everest National Insurance Company	301319	Agent - Casualty	9/1/2022	4/4/2025
Inactive	Everest National Insurance Company	301319	Agent - Property	9/1/2022	4/4/2025
Inactive	Everest Premier Insurance Company	941053	Agent - Casualty	9/1/2022	4/4/2025
Inactive	Everest Premier Insurance Company	941053	Agent - Property	9/1/2022	4/4/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aegis Ins Services Inc	916921	Agent - Casualty	9/1/2022	3/31/2025
Inactive	Aegis Ins Services Inc	916921	Agent - Property	9/1/2022	3/31/2025