DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Self, Richard Joseph	DOIID	388997	NAIC NPN	4959018

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Personal Property & Unemployment	5/19/1994	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	6/26/2003	3/31/2019
Inactive	Resident	Agent	Credit Life & Health	3/7/1994	8/7/2000
Inactive	Resident	Agent	Vehicle Physical Damage	4/30/2003	5/31/2003
* 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	American Bankers Insurance Company of Florida	300360	Agent - Credit Personal Property & Unemployment	9/25/1995	8/7/2000
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Limited Line Credit	6/26/2003	1/5/2005
Inactive	American National Insurance Company	301861	Agent - Limited Line Credit	9/23/2011	5/14/2018
Inactive	American National Property and Casualty Company	300392	Agent - Limited Line Credit	10/7/2011	5/14/2018
Inactive	American Reliable Insurance Company	301889	Agent - Credit Personal Property & Unemployment	10/31/1995	1/22/1996
Inactive	Citizens Security Life Insurance Company	301257	Agent - Credit Life & Health	8/2/2000	8/7/2000
Inactive	Citizens Security Life Insurance Company	301257	Agent - Limited Line Credit	6/26/2003	10/31/2003
Inactive	First Colonial Insurance Company	300752	Agent - Credit Personal Property & Unemployment	8/2/2000	8/7/2000
Inactive	First Colonial Insurance Company	300752	Agent - Limited Line Credit	6/26/2003	10/31/2003
Inactive	First Colonial Insurance Company	300752	Agent - Vehicle Physical Damage	10/19/2000	5/31/2003
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	6/26/2003	2/12/2014
Inactive	Lyndon Southern Insurance Company	609602	Agent - Limited Line Credit	9/29/2005	11/12/2012
Inactive	Protective Property & Casualty Insurance Company	300393	Agent - Credit Personal Property & Unemployment	7/26/1996	6/19/2000
Inactive	Protective Property & Casualty Insurance Company	300393	Agent - Limited Line Credit	7/21/2003	7/21/2006
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/4/1998	6/19/2000
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	3/7/1994	9/3/1998
Inactive	Triton Insurance Company	300654	Agent - Credit Personal Property & Unemployment	5/19/1994	12/27/1995
Inactive	Vesta Fire Insurance Corporation	300828	Agent - Credit Personal Property & Unemployment	11/4/1997	8/7/2000
Inactive	Vesta Fire Insurance Corporation	300828	Agent - Limited Line Credit	8/7/2000	4/1/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Money One Credit of Ky Inc.	398504	Agent - Credit Personal Property & Unemployment	7/11/1994	3/31/1998
Inactive	Southside Financial Services, Inc.	546996	Agent - Limited Line Credit	6/26/2003	4/30/2018
Inactive	U.S. Bancorp Consumer Finance of Kentucky	399141	Agent - Credit Life & Health	5/19/1999	8/7/2000
Inactive	U.S. Bancorp Consumer Finance of Kentucky	399141	Agent - Credit Personal Property & Unemployment	5/19/1999	8/7/2000
Inactive	U.S. Bancorp Consumer Finance of Kentucky	399141	Agent - Limited Line Credit	8/7/2000	2/12/2003