DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Selfgood LLC DBA : Selfgood Insurance Group	DOIID	1128659	NAIC NPN	19857698

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	7/28/2021	2/13/2023
Active	Non Resident	Agent	Health	4/8/2021		3/31/2027
Inactive	Non Resident	Agent	Property	11/3/2021	8/15/2022
Inactive	Non Resident	Agent	Life	4/8/2021	6/29/2023
Inactive	Non Resident	Agent	Casualty	11/3/2021	8/15/2022
* 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	American Guarantee and Liability Insurance Company	301216	Agent - Health	6/23/2021
Active	American Zurich Insurance Company	300592	Agent - Health	6/23/2021
Active	Renaissance Life & Health Insurance Company of America	301447	Agent - Health	1/31/2025
Active	S.USA Life Insurance Company, Inc.	301774	Agent - Health	4/15/2022
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	1/11/2022	6/29/2023
Active	Zurich American Insurance Company	301121	Agent - Health	6/23/2021
Active	Zurich American Insurance Company of Illinois	301805	Agent - Health	6/23/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fajkowski, Ryan James	1216868	Agent - Health	10/25/2022
Denied	Fajkowski, Ryan James	1216868	Agent - Life
Inactive	Hayes, Jennifer A	1168368	Agent - Casualty	11/3/2021	8/15/2022
Inactive	Hayes, Jennifer A	1168368	Agent - Property	11/3/2021	8/15/2022
Inactive	Kosloske, Tyler	931107	Administrator - Not Applicable	7/28/2021	2/13/2023
Inactive	Kosloske, Tyler	931107	Agent - Health	4/8/2021	12/30/2022
Inactive	Kosloske, Tyler	931107	Agent - Life	4/8/2021	6/29/2023