DEPARTMENT OF INSURANCE

Affiliations

Name	Dudacek, Robert Joseph	DOIID	652606	NAIC NPN	8993206

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	10/31/2024
Active	Non Resident	Agent	Casualty	4/2/2007	10/31/2024
Active	Non Resident	Agent	Property	4/2/2007	10/31/2024
Active	Non Resident	Agent	Life	4/2/2007	10/31/2024
Active	Non Resident	Agent	Health	4/2/2007	10/31/2024
Withdrawn	Non Resident	Managing General Agent	Not Applicable
* 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	08/15/2024	10/31/2024
Agent	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	9/19/2007
Active	ACE American Insurance Company	300625	Agent - Health	9/19/2007
Active	ACE American Insurance Company	300625	Agent - Property	9/19/2007
Inactive	American General Assurance Company	300586	Agent - Health	8/1/2009	12/31/2012
Inactive	American General Assurance Company	300586	Agent - Life	8/1/2009	12/31/2012
Inactive	American General Life Insurance Company	301585	Agent - Health	12/31/2012	6/21/2016
Inactive	American General Life Insurance Company	301585	Agent - Life	12/31/2012	6/21/2016
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	8/1/2009	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	8/1/2009	12/31/2012
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	3/13/2008	9/5/2012
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	1/28/2008	9/5/2012
Inactive	Garden State Life Insurance Company	300610	Agent - Health	8/7/2009	5/24/2012
Inactive	Garden State Life Insurance Company	300610	Agent - Life	8/7/2009	5/24/2012
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/18/2021
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/18/2021
Active	Independence American Insurance Company	524747	Agent - Casualty	11/7/2023
Active	Independence American Insurance Company	524747	Agent - Property	11/7/2023
Active	Minnesota Life Insurance Company	300488	Agent - Health	8/15/2007
Active	Minnesota Life Insurance Company	300488	Agent - Life	8/15/2007
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/25/2009	8/26/2013
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	12/9/2009
Inactive	New York Life Insurance Company	300431	Agent - Health	7/18/2012	6/6/2013
Inactive	New York Life Insurance Company	300431	Agent - Life	7/18/2012	6/6/2013
Active	Pruco Life Insurance Company	300954	Agent - Life	7/15/2024
Active	SiriusPoint America Insurance Company	301148	Agent - Health	4/11/2019
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	8/23/2007	8/15/2013
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	8/23/2007	8/15/2013
Active	Tier One Insurance Company	301056	Agent - Health	3/14/2022
Inactive	Transamerica Casualty Insurance Company	300311	Agent - Casualty	8/23/2007	8/15/2013
Inactive	Transamerica Casualty Insurance Company	300311	Agent - Property	8/23/2007	8/15/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2020	5/26/2021
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2020	5/26/2021
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/23/2007	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/23/2007	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	8/1/2009	6/21/2016
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	8/1/2009	6/21/2016
Active	United of Omaha Life Insurance Company	300156	Agent - Health	3/27/2019
Active	United of Omaha Life Insurance Company	300156	Agent - Life	3/27/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	FRANKLIN MADISON GROUP LLC	394568	Agent - Life	1/13/2016
Active	FRANKLIN MADISON GROUP LLC	394568	Agent - Health	1/13/2016
Active	FRANKLIN MADISON GROUP LLC	394568	Agent - Property	1/13/2016
Active	FRANKLIN MADISON GROUP LLC	394568	Agent - Casualty	1/13/2016
Active	FRANKLIN MADISON GROUP LLC	394568	Administrator - Not Applicable	7/12/2017
Inactive	Franklin Madison Insurance LLC	1048325	Agent - Life	7/23/2019	6/2/2021
Inactive	Franklin Madison Insurance LLC	1048325	Agent - Health	7/23/2019	6/2/2021
Inactive	Franklin Madison Insurance LLC	1048325	Agent - Property	7/23/2019	6/2/2021
Inactive	Franklin Madison Insurance LLC	1048325	Agent - Casualty	7/23/2019	6/2/2021
Withdrawn	Franklin Madison Insurance LLC	1048325	Managing General Agent - Not Applicable	8/19/2019
Inactive	Long Term Preferred Care, Inc.	577837	Agent - Life	1/13/2016	9/13/2019
Inactive	Long Term Preferred Care, Inc.	577837	Agent - Health	1/13/2016	9/13/2019
Inactive	Wells Fargo Bank N A	597644	Agent - Life	8/15/2007	9/17/2013
Inactive	Wells Fargo Bank N A	597644	Agent - Health	8/15/2007	9/17/2013
Inactive	Wells Fargo Bank N A	597644	Agent - Property	8/23/2007	9/17/2013
Inactive	Wells Fargo Bank N A	597644	Agent - Casualty	8/23/2007	9/17/2013
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Life	8/15/2007	8/19/2013
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Health	8/15/2007	8/19/2013
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	8/23/2007	8/19/2013
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	8/23/2007	8/19/2013