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	10/31/2026
Active	Non Resident	Agent	Life	4/2/2007	10/31/2026
Active	Non Resident	Agent	Casualty	4/2/2007	10/31/2026
Active	Non Resident	Agent	Health	4/2/2007	10/31/2026
Active	Non Resident	Agent	Property	4/2/2007	10/31/2026
Withdrawn	Non Resident	Managing General Agent	Not Applicable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.

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