DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tan, Selena	DOIID	1378400	NAIC NPN	21063555

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	12/31/2024		8/31/2026
Active	Non Resident	Agent	Casualty	12/31/2024		8/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/8/2025		8/31/2026
* 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	06/15/2026	08/31/2026
Surplus Lines Broker	06/15/2026	08/31/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty
Denied	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property