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.

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