DEPARTMENT OF INSURANCE

Affiliations

Name	Goff, Holly	DOIID	1363419	NAIC NPN	21323120

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	9/24/2024		6/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	WALMART CLAIMS SERVICES, INC.	401329	Independent Adjuster - Workers' Compensation	11/3/2026