DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Goodman, Ericka D	DOIID	848409	NAIC NPN	17345308

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/15/2014	12/31/2022
Inactive	Non Resident	Agent	Property	8/15/2014	12/31/2022
Active	Non Resident	Staff Adjuster	Property & Casualty	6/13/2024		12/31/2026
* 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
Staff Adjuster	10/15/2026	12/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	8/18/2014	12/3/2021
Inactive	Bristol West Insurance Company	301655	Agent - Property	8/18/2014	12/3/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/18/2014	12/3/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/18/2014	12/3/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foremost Express Insurance Agency Inc.	515334	Agent - Casualty	12/18/2017	12/31/2018
Inactive	Foremost Express Insurance Agency Inc.	515334	Agent - Property	12/18/2017	12/31/2018
Inactive	Fx Insurance Agency, LLC	646184	Agent - Casualty	12/31/2018	12/3/2021
Inactive	Fx Insurance Agency, LLC	646184	Agent - Property	12/31/2018	12/3/2021