DEPARTMENT OF INSURANCE

Affiliations

Name	Goetz, Jill Marie	DOIID	931932	NAIC NPN	18140438

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	10/7/2016	4/30/2025
Active	Resident	Agent	Property	10/7/2016	4/30/2025
* 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	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	8/25/2022
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	8/25/2022
Active	American Select Insurance Company	301229	Agent - Casualty	9/14/2022
Active	American Select Insurance Company	301229	Agent - Property	9/14/2022
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	8/24/2022
Active	Auto-Owners Insurance Company	301480	Agent - Property	8/24/2022
Active	Bristol West Insurance Company	301655	Agent - Casualty	9/16/2022
Active	Bristol West Insurance Company	301655	Agent - Property	9/16/2022
Active	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	9/2/2022
Active	Celina Mutual Insurance Company (The)	301908	Agent - Property	9/2/2022
Active	Farmers Mutual Hail Insurance Company of Iowa	300489	Agent - Casualty	8/31/2022
Active	Farmers Mutual Hail Insurance Company of Iowa	300489	Agent - Property	8/31/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/16/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/16/2022
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	10/27/2016
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	10/27/2016
Active	Ohio Farmers Insurance Company	301667	Agent - Casualty	9/14/2022
Active	Ohio Farmers Insurance Company	301667	Agent - Property	9/14/2022
Active	Old Guard Insurance Company	533854	Agent - Casualty	9/14/2022
Active	Old Guard Insurance Company	533854	Agent - Property	9/14/2022
Active	Owners Insurance Company	300796	Agent - Casualty	8/24/2022
Active	Owners Insurance Company	300796	Agent - Property	8/24/2022
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	5/16/2023
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	5/16/2023
Active	Westfield Champion Insurance Company	1054839	Agent - Casualty	9/14/2022
Active	Westfield Champion Insurance Company	1054839	Agent - Property	9/14/2022
Active	Westfield Insurance Company	301950	Agent - Casualty	9/14/2022
Active	Westfield Insurance Company	301950	Agent - Property	9/14/2022
Active	Westfield National Insurance Company	301036	Agent - Casualty	9/14/2022
Active	Westfield National Insurance Company	301036	Agent - Property	9/14/2022
Active	Westfield Premier Insurance Company	1055055	Agent - Casualty	9/14/2022
Active	Westfield Premier Insurance Company	1055055	Agent - Property	9/14/2022
Active	Westfield Superior Insurance Company	1054978	Agent - Casualty	9/14/2022
Active	Westfield Superior Insurance Company	1054978	Agent - Property	9/14/2022
Active	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	9/14/2022
Active	Westfield Touchstone Insurance Company	1055057	Agent - Property	9/14/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ohio Valley Insurance, LLC	617593	Agent - Casualty	8/22/2022
Active	Ohio Valley Insurance, LLC	617593	Agent - Property	8/22/2022