DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Self, Lisa A	DOIID	554590	NAIC NPN	2447972

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/1/2024		1/31/2027
Active	Non Resident	Agent	Casualty	4/1/2024		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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Doctors Company, an Interinsurance Exchange (The)	301946	Agent - Casualty	12/20/2010	8/16/2011
Inactive	Doctors Company, an Interinsurance Exchange (The)	301946	Agent - Property	12/20/2010	8/16/2011
Inactive	Greenwich Insurance Company	301754	Agent - Casualty	5/20/2008	10/21/2013
Inactive	Greenwich Insurance Company	301754	Agent - Property	5/20/2008	10/21/2013
Inactive	Openly Insurance Company	501694	Agent - Casualty	4/27/2010	8/19/2011
Inactive	Openly Insurance Company	501694	Agent - Property	4/27/2010	8/19/2011
Active	ProAssurance Indemnity Company, Inc.	301859	Agent - Casualty	5/15/2024
Inactive	West Virginia Mutual Insurance Company	716223	Agent - Casualty	8/26/2010	10/21/2013
Inactive	XL Specialty Insurance Company	301605	Agent - Casualty	5/20/2008	10/21/2013
Inactive	XL Specialty Insurance Company	301605	Agent - Property	5/20/2008	10/21/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Neace & Associates Insurance Agency of OH, Inc.	521908	Agent - Casualty	1/19/2007	2/13/2008
Inactive	Neace & Associates Insurance Agency of OH, Inc.	521908	Agent - Property	1/19/2007	3/26/2007