DEPARTMENT OF INSURANCE

Affiliations

Name	FRANKLIN MADISON GROUP LLC	DOIID	394568	NAIC NPN	9790592

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	7/12/2017	3/31/2027
Active	Non Resident	Agent	Health	12/20/2006	3/31/2027
Active	Non Resident	Agent	Life	12/20/2006	3/31/2027
Active	Non Resident	Agent	Property	12/20/2006	3/31/2027
Active	Non Resident	Agent	Casualty	12/20/2006	3/31/2027
* 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
Administrator	01/15/2025	03/31/2025	01/02/2025	01/02/2025	Yes
Agent	01/15/2025	03/31/2025	01/02/2025	01/02/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Health	3/6/2016
Inactive	American General Assurance Company	300586	Agent - Health	2/22/2011	12/31/2012
Inactive	American General Assurance Company	300586	Agent - Life	2/22/2011	12/31/2012
Inactive	American General Life Insurance Company	301585	Agent - Health	12/31/2012	3/15/2015
Inactive	American General Life Insurance Company	301585	Agent - Life	12/31/2012	3/15/2015
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	2/22/2011	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/22/2011	12/31/2012
Active	Colonial Penn Life Insurance Company	300491	Agent - Life	4/18/2023
Active	Executive Risk Indemnity Inc.	301510	Agent - Casualty	7/12/2023
Active	Executive Risk Indemnity Inc.	301510	Agent - Property	7/12/2023
Active	Federal Insurance Company	301144	Agent - Health	5/29/2012
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/5/2007
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/5/2007
Active	Independence American Insurance Company	524747	Agent - Casualty	1/17/2025
Active	Independence American Insurance Company	524747	Agent - Property	1/17/2025
Active	Minnesota Life Insurance Company	300488	Agent - Health	4/22/2008
Active	Minnesota Life Insurance Company	300488	Agent - Life	4/22/2008
Active	Pruco Life Insurance Company	300954	Agent - Life	7/12/2024
Active	Securian Casualty Company	642441	Agent - Casualty	10/30/2019
Active	Securian Casualty Company	642441	Agent - Property	10/30/2019
Active	Tier One Insurance Company	301056	Agent - Health	3/10/2022
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2020
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/9/2013	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/9/2013	10/1/2020
Active	United States Fire Insurance Company	582240	Agent - Casualty	10/1/2019
Active	United States Fire Insurance Company	582240	Agent - Property	10/1/2019
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	7/26/2015	12/8/2015
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	7/26/2015	12/8/2015
Inactive	Virginia Surety Company, Inc.	301022	Agent - Casualty	5/5/2010	2/1/2022
Inactive	Virginia Surety Company, Inc.	301022	Agent - Property	5/5/2010	2/1/2022
Active	Zurich American Insurance Company	301121	Agent - Health	4/27/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Demartino, Joseph N	393921	Administrator - Not Applicable	12/18/1995	1/12/1999
Active	Dudacek, Robert Joseph	652606	Administrator - Not Applicable	7/12/2017
Active	Dudacek, Robert Joseph	652606	Agent - Casualty	1/13/2016
Active	Dudacek, Robert Joseph	652606	Agent - Health	1/13/2016
Active	Dudacek, Robert Joseph	652606	Agent - Life	1/13/2016
Active	Dudacek, Robert Joseph	652606	Agent - Property	1/13/2016
Inactive	Ford, David Walter	308548	Administrator - Not Applicable	6/16/2003	10/31/2008
Inactive	Ford, David Walter	308548	Agent - Casualty	12/20/2006	10/31/2008
Inactive	Ford, David Walter	308548	Agent - Health	12/20/2006	10/31/2008
Inactive	Ford, David Walter	308548	Agent - Life	12/20/2006	10/31/2008
Inactive	Ford, David Walter	308548	Agent - Property	12/20/2006	10/31/2008
Inactive	Grimaldo, Rudy Edward	354423	Administrator - Not Applicable	1/26/1999	3/31/2001
Inactive	Pierce, Gary Lynn	308462	Administrator - Not Applicable	3/31/2001	8/31/2010
Inactive	Smith, Douglas Edward	639057	Administrator - Not Applicable	1/11/2008	3/31/2017
Inactive	Smith, Douglas Edward	639057	Agent - Casualty	12/17/2007	1/13/2016
Inactive	Smith, Douglas Edward	639057	Agent - Health	12/17/2007	1/13/2016
Inactive	Smith, Douglas Edward	639057	Agent - Life	12/17/2007	1/13/2016
Inactive	Smith, Douglas Edward	639057	Agent - Property	12/17/2007	1/13/2016