DEPARTMENT OF INSURANCE

Name	Goins, Keith M	DOIID	357816	NAIC NPN	3227864

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	11/2/1999	7/1/2010
Active	Resident	Agent	Casualty	8/15/2000		9/30/2025
Active	Resident	Agent	Property	8/15/2000		9/30/2025
Inactive	Resident	Agent	General Lines	2/13/1998	8/15/2000
Inactive	Resident	Apprentice Adjuster	Not Applicable	5/5/1999	11/2/1999
Inactive	Resident	Solicitor	General Lines	1/9/1998	2/3/1998
Active	Resident	Staff Adjuster	Property & Casualty	7/1/2010		9/30/2025
AFFIDAVIT ON FILE

*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	07/15/2025	09/30/2025
Staff Adjuster	07/15/2025	09/30/2025

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	1415 W Diehl Rd Ste 405 Naperville, IL 605631394
Residence	Not Public Information

Internet Information

Type	Address
Business Email	Keith.Goins@thehartford.com

Phone Information

Type	Phone
Business / Home Office	(860) 624-6435