DEPARTMENT OF INSURANCE

Affiliations

Name	Madison, Fernando Nicholas	DOIID	893588	NAIC NPN	595568

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	6/25/2019	6/30/2026
Active	Non Resident	Agent	Life	6/25/2019	6/30/2026
* 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	AXIS Insurance Company	301290	Agent - Health	10/26/2020	9/22/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/4/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	8/12/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/11/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	5/4/2020
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	8/7/2020	4/24/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	8/12/2020	8/11/2021
Active	American Financial Security Life Insurance Co.	301635	Agent - Health	10/30/2020
Inactive	American General Life Insurance Company	301585	Agent - Health	3/18/2022	10/19/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	3/18/2022	10/19/2024
Inactive	American National Insurance Company	301861	Agent - Life	3/11/2022	5/14/2024
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	5/11/2018	6/30/2018
Active	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	5/18/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/15/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	4/15/2021
Active	Anthem Life Insurance Company	301209	Agent - Life	4/15/2021
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/13/2015	6/30/2018
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/12/2020
Inactive	Federal Insurance Company	301144	Agent - Health	11/20/2019	11/24/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/22/2021	3/20/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/22/2021	3/20/2024
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	8/11/2020	12/19/2022
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	10/28/2020	12/13/2022
Active	SilverScript Insurance Company	663526	Agent - Health	5/4/2020
Inactive	United States Fire Insurance Company	582240	Agent - Health	12/9/2020	5/8/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/6/2022	1/22/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/6/2022	1/22/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/1/2019	1/20/2021
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	3/11/2018	5/23/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/1/2019	1/20/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/1/2019	1/20/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/1/2019	1/20/2021
Inactive	Washington National Insurance Company	300587	Agent - Health	4/20/2020	6/14/2022
Inactive	Washington National Insurance Company	300587	Agent - Life	4/20/2020	6/14/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/31/2019	4/8/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/31/2019	4/7/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Dentalplans Com	894687	Agent - Life
Inactive	Dentalplans Com	894687	Agent - Health	11/5/2015	5/22/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/18/2019	12/11/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/18/2019	12/11/2020
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	11/4/2020	8/15/2022