DEPARTMENT OF INSURANCE

Affiliations

Name	Goff, Keith Thomas	DOIID	520835	NAIC NPN	7216246

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Resident	Agent	Life
Inactive	Resident	Agent	Health	8/26/2004	5/1/2010
Inactive	Resident	Agent	Property	8/29/2005	5/1/2010
Inactive	Resident	Agent	Casualty	8/29/2005	5/1/2010
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/26/2004	2/20/2006
Denied	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	2/25/2005	6/23/2008
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	8/29/2005	11/30/2007
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Health	9/2/2005	11/30/2007
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	8/29/2005	11/30/2007
Inactive	LM Insurance Corporation	301061	Agent - Casualty	8/29/2005	11/30/2007
Inactive	LM Insurance Corporation	301061	Agent - Health	9/2/2005	11/30/2007
Inactive	LM Insurance Corporation	301061	Agent - Property	8/29/2005	11/30/2007
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	8/29/2005	11/30/2007
Inactive	Liberty Insurance Corporation	300444	Agent - Health	9/2/2005	11/30/2007
Inactive	Liberty Insurance Corporation	300444	Agent - Property	8/29/2005	11/30/2007
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	8/29/2005	11/30/2007
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Health	9/2/2005	11/30/2007
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	8/29/2005	11/30/2007
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	8/29/2005	11/30/2007
Inactive	Liberty Mutual Insurance Company	301159	Agent - Health	9/2/2005	11/30/2007
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	8/29/2005	11/30/2007
Denied	Primerica Life Insurance Company	300970	Agent - Health
Inactive	Primerica Life Insurance Company	300970	Agent - Life	2/19/2001	7/1/2002
Inactive	Principal Life Insurance Company	300129	Agent - Health	3/18/2008	12/2/2009
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	5/15/2009	1/12/2010
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	12/26/2007	1/21/2010
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	12/26/2007	1/21/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Charles Taylor TPA, LLC	401233	Agent - Health	12/10/2007	1/8/2010
Inactive	Charles Taylor TPA, LLC	401233	Agent - Property	12/26/2007	1/8/2010
Inactive	Charles Taylor TPA, LLC	401233	Agent - Casualty	12/26/2007	1/8/2010
Inactive	The Underwriters Group, Inc	674720	Agent - Health	3/3/2008	1/8/2010
Inactive	The Underwriters Group, Inc	674720	Agent - Property	3/3/2008	1/8/2010
Inactive	The Underwriters Group, Inc	674720	Agent - Casualty	3/3/2008	1/8/2010