DEPARTMENT OF INSURANCE

Affiliations

Name	Self, Brian Curtis	DOIID	665825	NAIC NPN	1679981

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	10/9/2007	11/30/2025
Active	Non Resident	Agent	Life	10/9/2007	11/30/2025
Active	Non Resident	Agent	Health	10/9/2007	11/30/2025
Active	Non Resident	Agent	Casualty	10/9/2007	11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - Casualty	2/13/2013	9/9/2020
Inactive	ACE American Insurance Company	300625	Agent - Property	2/13/2013	9/9/2020
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	2/13/2013	9/4/2020
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	2/13/2013	9/4/2020
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	2/13/2013	9/4/2020
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	2/13/2013	9/4/2020
Active	American Economy Insurance Company	300315	Agent - Casualty	10/27/2021
Active	American Economy Insurance Company	300315	Agent - Property	10/27/2021
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	12/22/2009	4/30/2013
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	12/22/2009	4/30/2013
Inactive	Association Casualty Insurance Company	650779	Agent - Casualty	5/24/2012	2/26/2025
Inactive	Association Casualty Insurance Company	650779	Agent - Property	5/24/2012	2/26/2025
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	10/18/2023
Active	Auto-Owners Insurance Company	301480	Agent - Property	10/18/2023
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	11/13/2007	10/12/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	11/13/2007	10/12/2020
Inactive	Columbia Mutual Insurance Company	301295	Agent - Casualty	5/24/2012	2/26/2025
Inactive	Columbia Mutual Insurance Company	301295	Agent - Property	5/24/2012	2/26/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/20/2012	8/9/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/20/2012	8/9/2013
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/11/2015
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/11/2015
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	11/13/2007	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	11/13/2007	10/5/2021
Active	GuideOne Elite Insurance Company	300490	Agent - Casualty	9/11/2008
Active	GuideOne Elite Insurance Company	300490	Agent - Property	9/11/2008
Active	GuideOne Insurance Company	301794	Agent - Casualty	9/11/2008
Active	GuideOne Insurance Company	301794	Agent - Property	9/11/2008
Active	GuideOne Specialty Insurance Company	300278	Agent - Casualty	9/11/2008
Active	GuideOne Specialty Insurance Company	300278	Agent - Property	9/11/2008
Inactive	Humana Insurance Company	301104	Agent - Health	4/17/2012	8/9/2013
Inactive	Humana Insurance Company	301104	Agent - Life	4/17/2012	8/9/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/20/2012	8/9/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/20/2012	8/9/2013
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	2/13/2013	9/9/2020
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	2/13/2013	9/9/2020
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/20/2012	8/9/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/20/2012	8/9/2013
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	4/1/2021
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	4/1/2021
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	4/1/2021
Active	Owners Insurance Company	300796	Agent - Casualty	10/18/2023
Active	Owners Insurance Company	300796	Agent - Property	10/18/2023
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	7/6/2009	4/29/2010
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	4/3/2025
Active	Progressive Casualty Insurance Company	300696	Agent - Property	4/3/2025
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	6/19/2012	12/2/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	6/19/2012	12/2/2013
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	9/13/2024
Active	Travelers Personal Insurance Company	705785	Agent - Property	9/13/2024
Active	United Financial Casualty Company	301886	Agent - Casualty	4/3/2025
Active	United Financial Casualty Company	301886	Agent - Property	4/3/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/6/2009	4/29/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Seeman Holtz Property & Casualty LLC	973793	Agent - Property	4/19/2018
Active	Seeman Holtz Property & Casualty LLC	973793	Agent - Casualty	4/19/2018
Inactive	Tri Star Of Sikeston Inc	688323	Agent - Life	4/9/2013	3/31/2020
Inactive	Tri Star Of Sikeston Inc	688323	Agent - Health	4/9/2013	3/31/2020
Inactive	Tri Star Of Sikeston Inc	688323	Agent - Property	10/6/2008	3/31/2020
Inactive	Tri Star Of Sikeston Inc	688323	Agent - Casualty	10/6/2008	3/31/2020