DEPARTMENT OF INSURANCE

Affiliations

Name	Backhaus, Jennifer L.	DOIID	674412	NAIC NPN	10322683

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	4/8/2008	10/31/2025
Active	Resident	Agent	Life	3/11/2008	10/31/2025
* 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	Banner Life Insurance Company	301696	Agent - Life	7/25/2010	8/9/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/29/2010	12/5/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	3/29/2010	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	3/29/2010	6/26/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/29/2010	12/5/2014
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	1/5/2021
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	1/5/2021
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/21/2013	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/24/2008	8/14/2015
Inactive	Humana Insurance Company	301104	Agent - Health	4/24/2008	8/14/2015
Inactive	Humana Insurance Company	301104	Agent - Life	4/24/2008	8/14/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/29/2010	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/29/2010	12/5/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/24/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/24/2012	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/21/2014	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/21/2014	12/5/2014
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	9/26/2013	10/29/2015
Active	Metropolitan Life Insurance Company	301948	Agent - Health	8/21/2015
Active	Metropolitan Life Insurance Company	301948	Agent - Life	8/21/2015
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	11/18/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	11/18/2021
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/18/2021
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/18/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	8/14/2015
Active	Phil Brown Insurance Agency Inc	400744	Agent - Health	4/24/2008
Active	Phil Brown Insurance Agency Inc	400744	Agent - Life	2/22/2016