DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Madderom, Timothy Paul	DOIID	1352058	NAIC NPN	21185972

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	7/24/2024		4/30/2027
Active	Non Resident	Agent	Casualty	7/24/2024		4/30/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	8/14/2024		4/30/2027
* 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	02/15/2027	04/30/2027
Surplus Lines Broker	02/15/2027	04/30/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	9/6/2024
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	9/6/2024
Active	Church Mutual Insurance Company, S.I.	301554	Agent - Casualty	11/25/2024
Active	Church Mutual Insurance Company, S.I.	301554	Agent - Property	11/25/2024
Active	Independence American Insurance Company	524747	Agent - Casualty	6/25/2026
Active	Independence American Insurance Company	524747	Agent - Property	6/25/2026
Active	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	9/6/2024
Active	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	9/6/2024
Active	The Phoenix Insurance Company	301502	Agent - Casualty	9/6/2024
Active	The Phoenix Insurance Company	301502	Agent - Property	9/6/2024
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	9/6/2024
Active	Travelers Indemnity Company (The)	301855	Agent - Property	9/6/2024
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	9/6/2024
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	9/6/2024
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	9/6/2024
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	9/6/2024
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	9/6/2024
Active	Travelers Property Casualty Company of America	301649	Agent - Property	9/6/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CBIZ Ins Services Inc	515291	Agent - Casualty	9/16/2024
Active	CBIZ Ins Services Inc	515291	Agent - Property	9/16/2024
Active	CBIZ Ins Services Inc	515291	Surplus Lines Broker - Not Applicable	9/16/2024