DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Madison Risk & Insurance Services DBA : Madison Healthcare Insurance Services	DOIID	761043	NAIC NPN	6811899

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/15/2011	8/13/2015
Inactive	Non Resident	Agent	Casualty	8/15/2011	8/13/2015
* 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	Medicus Insurance Company	750731	Agent - Casualty	5/15/2012	5/13/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bowen, Kathryn Ann	751139	Agent - Casualty	8/15/2011	8/13/2015
Inactive	Bowen, Kathryn Ann	751139	Agent - Property	8/15/2011	8/13/2015