DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Goetz, Jonathan C	DOIID	596091	NAIC NPN	3314423

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	9/24/2004	3/31/2007
Inactive	Non Resident	Agent	Casualty	9/24/2004	3/31/2007
Inactive	Non Resident	Agent	Health	9/24/2004	3/31/2007
Inactive	Non Resident	Agent	Life	9/24/2004	3/31/2007
* 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	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	11/9/2004	3/31/2007
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Property	11/9/2004	3/31/2007
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Casualty	11/9/2004	8/23/2005
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Property	11/9/2004	8/23/2005
Inactive	TravCo Personal Insurance Company	301284	Agent - Casualty	11/9/2004	8/23/2005
Inactive	TravCo Personal Insurance Company	301284	Agent - Property	11/9/2004	8/23/2005
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	11/9/2004	3/31/2007
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	11/9/2004	3/31/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	American Specialty Ins Services Inc	396095	Agent - Life
Inactive	American Specialty Ins Services Inc	396095	Agent - Casualty	4/21/2005	3/31/2007
Inactive	American Specialty Ins Services Inc	396095	Agent - Property	4/21/2005	3/31/2007
Denied	American Specialty Ins Services Inc	396095	Agent - Health