DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fackler, Madison	DOIID	1381702	NAIC NPN	21447362

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	2/10/2025		8/31/2026
Active	Resident	Agent	Property	2/10/2025		8/31/2026
* 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
Agent	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Midwest Family Mutual Insurance Company	1022650	Agent - Casualty	4/23/2025
Active	Midwest Family Mutual Insurance Company	1022650	Agent - Property	4/23/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Assuredpartners NL, LLC	762387	Agent - Casualty	4/23/2025
Active	Assuredpartners NL, LLC	762387	Agent - Property	4/23/2025