DEPARTMENT OF INSURANCE

Name	Selfridge, Gary William	DOIID	320985	NAIC NPN	1030044

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	5/31/2020
Inactive	Non Resident	Agent	General Lines	6/29/1988	8/15/2000
Inactive	Non Resident	Agent	Property	8/15/2000	5/31/2020
Inactive	Non Resident	Agent	Life	11/12/1991	5/31/2020
Inactive	Non Resident	Agent	Health	11/12/1991	5/31/2020

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	1604 State St New Albany, IN 47150
Residence	Not Public Information