DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sellers, Jason Earl	DOIID	1234658	NAIC NPN	8351783

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	10/4/2022		1/31/2027
Active	Non Resident	Agent	Casualty	10/4/2022		1/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/16/2024		1/31/2027
* 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	11/15/2026	01/31/2027
Surplus Lines Broker	11/15/2026	01/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	New York Marine and General Insurance Company	301932	Agent - Casualty	8/13/2024	3/24/2026
Inactive	New York Marine and General Insurance Company	301932	Agent - Property	8/13/2024	3/24/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Business Insurance Services, Inc.	689152	Agent - Casualty	8/13/2024	4/23/2025
Inactive	American Business Insurance Services, Inc.	689152	Agent - Property	8/13/2024	4/23/2025
Inactive	American Business Insurance Services, Inc.	689152	Surplus Lines Broker - Not Applicable	6/10/2024	4/23/2025
Inactive	Dostuff Insurance Agency LLC	1238167	Agent - Casualty	10/21/2022	3/31/2024
Inactive	Dostuff Insurance Agency LLC	1238167	Agent - Property	10/21/2022	3/31/2024
Active	Family Os Insurance Solutions, LLC	1235245	Agent - Casualty	12/24/2024
Active	Family Os Insurance Solutions, LLC	1235245	Agent - Property	12/24/2024
Active	Family Os Insurance Solutions, LLC	1235245	Surplus Lines Broker - Not Applicable	12/24/2024