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DEPARTMENT OF INSURANCE
Affiliations
Name
Self, Kimberly Diane
DOIID
783191
NAIC NPN
16665261
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Health
6/4/2012
1/31/2026
Active
Non Resident
Agent
Life
6/4/2012
1/31/2026
Active
Non Resident
Agent
Personal Lines
4/19/2016
1/31/2026
* 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
11/15/2025
01/31/2026
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
American Economy Insurance Company
300315
Agent - Personal Lines
11/12/2019
Active
Bristol West Insurance Company
301655
Agent - Personal Lines
5/29/2024
Inactive
First Liberty Insurance Corporation (The)
301060
Agent - Personal Lines
1/4/2017
9/26/2024
Active
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Personal Lines
6/30/2023
Inactive
Globe Life and Accident Insurance Company
300639
Agent - Health
6/7/2012
5/11/2016
Inactive
Globe Life and Accident Insurance Company
300639
Agent - Life
6/7/2012
5/11/2016
Active
Homesite Insurance Company
301139
Agent - Personal Lines
2/19/2024
Active
Homesite Insurance Company of the Midwest
874850
Agent - Personal Lines
2/19/2024
Active
Integon Indemnity Corporation
300674
Agent - Personal Lines
9/23/2023
Inactive
LM General Insurance Company
300133
Agent - Personal Lines
7/2/2016
9/26/2024
Inactive
LM Insurance Corporation
301061
Agent - Personal Lines
1/4/2017
9/26/2024
Inactive
Liberty Insurance Corporation
300444
Agent - Personal Lines
8/16/2016
9/26/2024
Active
Liberty Mutual Fire Insurance Company
301913
Agent - Personal Lines
1/13/2025
Inactive
Liberty Mutual Insurance Company
301159
Agent - Personal Lines
1/4/2017
9/26/2024
Active
Liberty Mutual Personal Insurance Company
959584
Agent - Personal Lines
8/6/2018
Active
Peerless Indemnity Insurance Company
571682
Agent - Personal Lines
10/13/2022
Active
Progressive Casualty Insurance Company
300696
Agent - Personal Lines
7/10/2023
Active
SAFECO Insurance Company of America
300159
Agent - Personal Lines
4/30/2018
Active
SAFECO Insurance Company of Illinois
301350
Agent - Personal Lines
4/30/2018
Inactive
United American Insurance Company
300910
Agent - Health
8/23/2013
5/11/2016
Inactive
United American Insurance Company
300910
Agent - Life
8/23/2013
5/11/2016
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Denied
Helmsman Insurance Agency Llc
572054
Agent - Life
Denied
Helmsman Insurance Agency Llc
572054
Agent - Health
Active
Helmsman Insurance Agency Llc
572054
Agent - Personal Lines
8/22/2024
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