DEPARTMENT OF INSURANCE

Affiliations

Name	Goins, Keith M	DOIID	357816	NAIC NPN	3227864

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	11/2/1999	7/1/2010
Active	Resident	Agent	Casualty	8/15/2000		9/30/2025
Active	Resident	Agent	Property	8/15/2000		9/30/2025
Inactive	Resident	Agent	General Lines	2/13/1998	8/15/2000
Inactive	Resident	Apprentice Adjuster	Not Applicable	5/5/1999	11/2/1999
Inactive	Resident	Solicitor	General Lines	1/9/1998	2/3/1998
Active	Resident	Staff Adjuster	Property & Casualty	7/1/2010		9/30/2025
AFFIDAVIT ON FILE
* 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	Consolidated Insurance Company	300943	Agent - Casualty	8/15/2000	3/20/2002
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	2/8/1999	8/15/2000
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/15/2000	3/20/2002
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	8/15/2000	11/26/2001
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	3/8/1999	8/15/2000
Inactive	Dairyland Insurance Company	301370	Agent - Property	8/15/2000	11/26/2001
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	8/15/2000	7/26/2004
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - General Lines	12/1/1998	8/15/2000
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	8/15/2000	7/26/2004
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	5/22/2002
Inactive	Great American Insurance Company	301586	Agent - General Lines	2/11/1999	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	5/22/2002
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/15/2000	3/20/2002
Inactive	Indiana Insurance Company	301909	Agent - General Lines	2/8/1999	8/15/2000
Inactive	Indiana Insurance Company	301909	Agent - Property	8/15/2000	3/20/2002
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	8/15/2000	7/26/2004
Inactive	Metropolitan General Insurance Company	300709	Agent - General Lines	12/1/1998	8/15/2000
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	8/15/2000	7/26/2004
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/15/2000	3/20/2002
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	2/8/1999	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/15/2000	3/20/2002
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/15/2000	10/5/2001
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	2/13/1998	8/15/2000
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	8/15/2000	10/5/2001
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	8/15/2000	10/5/2001
Inactive	Ohio Security Insurance Company	300622	Agent - General Lines	10/4/1999	8/15/2000
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/15/2000	10/5/2001
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/15/2000	3/20/2002
Inactive	Peerless Insurance Company	301910	Agent - General Lines	2/8/1999	8/15/2000
Inactive	Peerless Insurance Company	301910	Agent - Property	8/15/2000	3/20/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Goins & Goins Insurance Agency Inc.	400450	Agent - General Lines	3/13/1998	8/15/2000
Inactive	Goins & Goins Insurance Agency Inc.	400450	Agent - Property	8/15/2000	7/26/2004
Inactive	Goins & Goins Insurance Agency Inc.	400450	Agent - Casualty	8/15/2000	7/26/2004

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Jones, Mark S	650603	Apprentice Adjuster - Not Applicable	4/13/2007	4/12/2008
Inactive	Kahn, Richard Forrest	651583	Apprentice Adjuster - Not Applicable	3/16/2007	2/21/2008
Inactive	Saint-Amand, Philip J	649266	Apprentice Adjuster - Not Applicable	2/28/2007	2/28/2008