DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Selfgood LLC DBA : Selfgood Insurance Group	DOIID	1128659	NAIC NPN	19857698

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	7/28/2021	2/13/2023
Active	Non Resident	Agent	Health	4/8/2021		3/31/2027
Inactive	Non Resident	Agent	Property	11/3/2021	8/15/2022
Inactive	Non Resident	Agent	Casualty	11/3/2021	8/15/2022
Inactive	Non Resident	Agent	Life	4/8/2021	6/29/2023
* 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	01/15/2025	03/31/2025	01/09/2025	01/09/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Guarantee and Liability Insurance Company	301216	Agent - Health	6/23/2021
Active	American Zurich Insurance Company	300592	Agent - Health	6/23/2021
Active	Renaissance Life & Health Insurance Company of America	301447	Agent - Health	1/31/2025
Active	S.USA Life Insurance Company, Inc.	301774	Agent - Health	4/15/2022
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	1/11/2022	6/29/2023
Active	Zurich American Insurance Company	301121	Agent - Health	6/23/2021
Active	Zurich American Insurance Company of Illinois	301805	Agent - Health	6/23/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fajkowski, Ryan James	1216868	Agent - Health	10/25/2022
Denied	Fajkowski, Ryan James	1216868	Agent - Life
Inactive	Hayes, Jennifer A	1168368	Agent - Casualty	11/3/2021	8/15/2022
Inactive	Hayes, Jennifer A	1168368	Agent - Property	11/3/2021	8/15/2022
Inactive	Kosloske, Tyler	931107	Administrator - Not Applicable	7/28/2021	2/13/2023
Inactive	Kosloske, Tyler	931107	Agent - Health	4/8/2021	12/30/2022
Inactive	Kosloske, Tyler	931107	Agent - Life	4/8/2021	6/29/2023