DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Goldman, Michelle J	DOIID	631633	NAIC NPN	1320950

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	9/16/2015		5/31/2025
Active	Non Resident	Agent	Property	9/16/2015		5/31/2025
Active	Non Resident	Agent	Casualty	9/16/2015		5/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/16/2015		5/31/2027
* 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
Agent	03/15/2025	05/31/2025
Surplus Lines Broker	03/15/2025	05/31/2025	03/10/2025	03/10/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AIG Property Casualty Company	300621	Agent - Casualty	12/22/2015
Active	AIG Property Casualty Company	300621	Agent - Property	12/22/2015
Active	American Home Assurance Company	300246	Agent - Casualty	12/22/2015
Active	American Home Assurance Company	300246	Agent - Property	12/22/2015
Active	Commerce and Industry Insurance Company	300881	Agent - Casualty	12/22/2015
Active	Commerce and Industry Insurance Company	300881	Agent - Property	12/22/2015
Active	Granite State Insurance Company	300818	Agent - Casualty	12/22/2015
Active	Granite State Insurance Company	300818	Agent - Property	12/22/2015
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	12/22/2015
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	12/22/2015
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	12/22/2015
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	12/22/2015
Active	New Hampshire Insurance Company	301670	Agent - Casualty	12/22/2015
Active	New Hampshire Insurance Company	301670	Agent - Property	12/22/2015
Inactive	RSUI Indemnity Company	300513	Agent - Casualty	8/29/2006	5/14/2015
Inactive	RSUI Indemnity Company	300513	Agent - Property	8/29/2006	5/14/2015
Inactive	Underwriters at Lloyd's, London	300658	Agent - Casualty	1/13/2016	8/7/2019
Inactive	Underwriters at Lloyd's, London	300658	Agent - Property	1/13/2016	8/7/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	RSG Specialty, LLC	726176	Agent - Casualty	1/7/2016
Active	RSG Specialty, LLC	726176	Agent - Property	1/7/2016
Active	RSG Specialty, LLC	726176	Surplus Lines Broker - Not Applicable	1/7/2016