DEPARTMENT OF INSURANCE

Name	Goodman, Jennifer Erin	DOIID	1084078	NAIC NPN	19494563

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Resident	Agent	Life	7/17/2020	4/30/2024
Pending Replacement	Resident	Agent	Property	7/15/2020	4/30/2024
Pending Replacement	Resident	Agent	Health	7/17/2020	4/30/2024
Pending Replacement	Resident	Agent	Casualty	7/15/2020	4/30/2024

*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	02/15/2024	04/30/2024

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	Acrisure Llc 174 Bellerive BlvdNicholasville, KY 403568120
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(866) 745-6392