DEPARTMENT OF INSURANCE

Affiliations

Name	Madsen, Annette Blanche	DOIID	381714	NAIC NPN	250444

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	7/19/2002	4/30/2010
Inactive	Non Resident	Agent	Casualty	1/10/2001	4/30/2010
Inactive	Non Resident	Agent	Property	1/10/2001	4/30/2010
Inactive	Non Resident	Agent	Life	7/19/2002	4/30/2010
* 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
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Casualty	9/8/2004	9/7/2007
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	9/8/2004	9/7/2007
Inactive	Baltimore Life Insurance Company	300286	Agent - Health	7/19/2002	2/20/2003
Inactive	Baltimore Life Insurance Company	300286	Agent - Life	7/19/2002	2/20/2003
Inactive	Centre Insurance Company	301599	Agent - Casualty	1/10/2001	12/2/2005
Inactive	Centre Insurance Company	301599	Agent - Property	1/10/2001	12/2/2005
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	2/23/2005	8/8/2008
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	2/23/2005	8/8/2008
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	4/13/2001	8/19/2008
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	4/13/2001	8/19/2008
Inactive	Great American Assurance Company	300327	Agent - Casualty	3/19/2001	3/18/2002
Inactive	Great American Assurance Company	300327	Agent - Property	3/19/2001	3/18/2002
Inactive	Revol One Insurance Company	300681	Agent - Health	1/29/2008	2/16/2009
Inactive	Revol One Insurance Company	300681	Agent - Life	1/29/2008	2/16/2009
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	2/20/2001	12/2/2002
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	2/20/2001	12/2/2002
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	2/29/1996	6/14/1999
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	2/29/1996	6/14/1999
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	5/4/2007	2/12/2008
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	5/4/2007	2/12/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	QBE First Enterprises LLC	610980	Agent - Life	8/26/2008	2/5/2009
Inactive	QBE First Enterprises LLC	610980	Agent - Health	8/26/2008	2/5/2009
Denied	QBE First Enterprises LLC	610980	Agent - Property
Denied	QBE First Enterprises LLC	610980	Agent - Casualty
Inactive	Securian Financial Network, Inc	400561	Agent - Property	8/15/2000	11/22/2002
Inactive	Securian Financial Network, Inc	400561	Agent - Casualty	8/15/2000	11/22/2002