black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KIMBERLY DIANE SELF

PRODUCER NON-RESIDENT

License Number:
PRN219903
Status:
First Licensure:
08/13/2013
Cancel Date:
None

Mailing:
BOSTON, MA 02116
Phone:
+1 (469) 808-8600
Email:
kimberly.self@libertymutual.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/13/2013

Agency

Name Issue Date License Number Expiration Date Cancel Date
HELMSMAN INSURANCE AGENCY LLC
08/08/2024 AGN37031

Employer

Name Issue Date License Number Expiration Date Cancel Date
BRISTOL WEST INSURANCE COMPANY
06/10/2024 PCF78370
DAIRYLAND INSURANCE COMPANY
04/30/2025 PCF721
FIRST LIBERTY INSURANCE CORPORATION
01/04/2017 PCF31779
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
06/30/2023 PCF445
GLOBE LIFE AND ACCIDENT INSURANCE COMPANY
08/15/2013 LHF854 05/11/2016
HOMESITE INSURANCE COMPANY OF THE MIDWEST
08/27/2023 PCF116371
LIBERTY INSURANCE CORPORATION
10/19/2016 PCF999
LIBERTY MUTUAL FIRE INSURANCE COMPANY
01/04/2017 PCF330
LIBERTY MUTUAL INSURANCE COMPANY
01/04/2017 PCF331
LIBERTY MUTUAL PERSONAL INSURANCE COMPANY
11/17/2019 PCF301005
LM GENERAL INSURANCE COMPANY
10/03/2016 PCF996
LM INSURANCE CORPORATION
11/03/2016 PCF31778
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
07/04/2023 PCF27738
SAFECO NATIONAL INSURANCE COMPANY
11/08/2018 PCF248658
UNITED AMERICAN INSURANCE COMPANY
08/23/2013 LHF871 05/11/2016

Authority

Description Issue Date Termination Date Status
HEALTH 08/13/2013 Active
LIFE 08/13/2013 Active
PERSONAL LINES 04/19/2016 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16665261

Other Addresses

Address Type
7900 WINDROSE AVE
PLANO, TX 75024-0266
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/25/2025 05:52:56 AM