DEPARTMENT OF INSURANCE

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.

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