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DEPARTMENT OF INSURANCE
Licensee Search Details
Name
Self Insurance Services, LLC
DOIID
792398
NAIC NPN
8527294
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Designated Home State
Active
Non Resident
Agent
Casualty
2/21/2014
3/31/2026
Active
Non Resident
Agent
Life
10/9/2020
3/31/2026
Active
Non Resident
Agent
Property
2/21/2014
3/31/2026
Active
Non Resident
Agent
Health
10/9/2020
3/31/2026
*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.
Address Information
Type
Address
Business / Home Office
7925 Bell Oaks Drive Ste A Newburgh, IN 47630
Internet Information
Type
Address
Business Email
CHARLES@SELFINSURANCESERVICES.COM
Phone Information
Type
Phone
Business / Home Office
(812) 842-2813
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