DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Goff, Michael Lee	DOIID	317192	NAIC NPN	1007286

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	3/28/2002	7/1/2010
Active	Non Resident	Administrator	Not Applicable	1/3/1997		6/30/2026
Active	Non Resident	Independent Adjuster	Property & Casualty	10/11/2011		6/30/2026
Inactive	Resident	Staff Adjuster	Property & Casualty	7/1/2010	10/11/2011
* 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
Administrator	04/15/2024	06/30/2024	05/10/2024	05/10/2024	Yes
Independent Adjuster	04/15/2024	06/30/2024	05/10/2024	05/10/2024	Yes

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	State Automobile Mutual Insurance Company	301824	Adjuster - Independent	3/30/1993	1/3/1997
Inactive	Twenty First Century Claims Service	401310	Adjuster - Independent	1/3/1997	3/28/2002
Inactive	Twenty First Century Claims Service	401310	Administrator - Not Applicable	1/3/1997	10/14/2003
Active	US Administrator Claims LLC	744512	Administrator - Not Applicable	6/27/2022

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Butler, MacKinnon Andrews	554506	Apprentice Adjuster - Not Applicable	8/9/2002	6/30/2003
Inactive	Osborne, Shawnda Nicole	506648	Apprentice Adjuster - Not Applicable	8/11/2000	2/7/2001
Inactive	Prather, Brian Hunter	580800	Apprentice Adjuster - Not Applicable	2/9/2004	10/27/2004
Inactive	Young, Hayley A	336517	Apprentice Adjuster - Not Applicable	8/7/2002	2/28/2003
Inactive	Zimmerman, Shannon M	323936	Apprentice Adjuster - Not Applicable	2/21/1997	5/29/1997