DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Godfrey, Nicole	DOIID	862214	NAIC NPN	16948337

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Independent Adjuster	Workers' Compensation	4/10/2023		6/30/2027
* 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
Independent Adjuster	04/15/2025	06/30/2025	06/09/2025	06/09/2025	Yes

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Broadspire Services, Inc.	396187	Independent Adjuster - Workers' Compensation	6/11/2025
Inactive	Sedgwick Claims Management Service Inc	401194	Independent Adjuster - Workers' Compensation	7/27/2016	12/5/2016