DEPARTMENT OF INSURANCE

Affiliations

Name	Madick, Jeremy Aaron	DOIID	852582	NAIC NPN	15933524

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	9/18/2014	11/30/2015
Inactive	Non Resident	Agent	Casualty	9/18/2014	11/30/2015
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Matic Insurance Services Inc.	853271	Agent - Property	9/23/2014	11/30/2015
Inactive	Matic Insurance Services Inc.	853271	Agent - Casualty	9/23/2014	11/30/2015