DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Self, Darren	DOIID	955475	NAIC NPN	16966509

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	5/24/2017	12/11/2017
Inactive	Non Resident	Agent	Property	5/24/2017	12/11/2017
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/16/2017	8/22/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/16/2017	8/22/2017
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	7/7/2017	8/24/2017
Inactive	Dairyland Insurance Company	301370	Agent - Property	7/7/2017	8/24/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Right Answer Ins Agency LLC	780508	Agent - Property	6/16/2017	8/24/2017
Inactive	Right Answer Ins Agency LLC	780508	Agent - Casualty	6/16/2017	8/24/2017