DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Goodman, Theresa Lynn	DOIID	591237	NAIC NPN	8148729

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	12/3/2009	2/28/2018
Inactive	Non Resident	Agent	Property	12/3/2009	2/28/2018
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	11/1/2017	2/28/2018
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	11/1/2017	2/28/2018
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	12/3/2009	6/28/2011
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	12/3/2009	6/28/2011
Inactive	Great West Casualty Company	301015	Agent - Casualty	12/3/2009	7/31/2015
Inactive	Great West Casualty Company	301015	Agent - Property	12/3/2009	7/31/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/9/2011	2/8/2016
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	11/9/2011	2/8/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Regional Transportation Insurance Agency Inc	679119	Agent - Casualty	12/3/2009	3/31/2016
Inactive	Regional Transportation Insurance Agency Inc	679119	Agent - Property	12/3/2009	3/31/2016
Inactive	Republic Capital Corporation	398822	Agent - Casualty	12/3/2009	2/8/2016
Inactive	Republic Capital Corporation	398822	Agent - Property	12/3/2009	2/8/2016