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	Life	3/11/2008	10/31/2025
Active	Resident	Agent	Health	4/8/2008	10/31/2025
* 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	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
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
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	1/5/2021	12/19/2024
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	1/5/2021	12/19/2024
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	Standard Insurance Company	300185	Agent - Health	1/16/2025
Active	Standard Insurance Company	300185	Agent - Life	1/16/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/18/2021	12/17/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/18/2021	12/17/2024
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/18/2021	12/17/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/18/2021	12/17/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	2/13/2025
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