DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Goldwasser, Andrew Samuel	DOIID	1245394	NAIC NPN	2115227

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/5/2022		5/31/2026
Active	Non Resident	Agent	Property	12/5/2022		5/31/2026
* 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	03/15/2024	05/31/2024	04/24/2024	04/24/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bristol West Insurance Company	301655	Agent - Casualty	12/9/2022
Active	Bristol West Insurance Company	301655	Agent - Property	12/9/2022
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	12/9/2022
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	12/9/2022
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	12/9/2022
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	12/9/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/9/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/9/2022
Inactive	Integon Indemnity Corporation	300674	Agent - Casualty	11/21/2023	6/25/2024
Inactive	Integon Indemnity Corporation	300674	Agent - Property	11/21/2023	6/25/2024
Active	Permanent General Assurance Corporation of Ohio	709250	Agent - Casualty	4/10/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Casualty	12/9/2022	5/15/2024
Inactive	Assurance IQ, LLC	919554	Agent - Property	12/9/2022	5/15/2024