PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameMadison Brokerage Corp.DOIID656019NAIC NPN8887174
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth12/14/20203/31/2025 
InactiveNon ResidentAgentLife12/14/20203/31/2025 
DeniedNon ResidentManaging General AgentNot 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCincinnati Life Insurance Company (The)300601Agent - Life4/6/20213/31/2025
InactiveGerber Life Insurance Company300529Agent - Health2/9/20233/31/2025
InactiveGerber Life Insurance Company300529Agent - Life2/9/20233/31/2025
InactiveLife Insurance Company of the Southwest301867Agent - Health9/29/20223/31/2025
InactiveLife Insurance Company of the Southwest301867Agent - Life9/29/20223/31/2025
InactivePenn Insurance and Annuity Company300712Agent - Life12/14/20203/31/2025
InactivePenn Mutual Life Insurance Company301394Agent - Life12/14/20203/31/2025
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedNiccolai, Gregory C 650461Agent - Life  
InactiveRaven, Rhonda V 934206Agent - Health12/14/20203/31/2025
InactiveRaven, Rhonda V 934206Agent - Life12/14/20203/31/2025

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