DEPARTMENT OF INSURANCE

Affiliations

Name	FRANKLIN MADISON GROUP LLC	DOIID	394568	NAIC NPN	9790592

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	3/31/2027
Active	Non Resident	Agent	Life	12/20/2006	3/31/2027
Active	Non Resident	Agent	Casualty	12/20/2006	3/31/2027
Active	Non Resident	Agent	Property	12/20/2006	3/31/2027
Active	Non Resident	Agent	Health	12/20/2006	3/31/2027
* 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 - Health	3/6/2016
Inactive	American General Assurance Company	300586	Agent - Health	2/22/2011	12/31/2012
Inactive	American General Assurance Company	300586	Agent - Life	2/22/2011	12/31/2012
Inactive	American General Life Insurance Company	301585	Agent - Health	12/31/2012	3/15/2015
Inactive	American General Life Insurance Company	301585	Agent - Life	12/31/2012	3/15/2015
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	2/22/2011	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/22/2011	12/31/2012
Active	Colonial Penn Life Insurance Company	300491	Agent - Life	4/18/2023
Active	Executive Risk Indemnity Inc.	301510	Agent - Casualty	7/12/2023
Active	Executive Risk Indemnity Inc.	301510	Agent - Property	7/12/2023
Active	Federal Insurance Company	301144	Agent - Health	5/29/2012
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/5/2007
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/5/2007
Active	Independence American Insurance Company	524747	Agent - Casualty	1/17/2025
Active	Independence American Insurance Company	524747	Agent - Property	1/17/2025
Active	Minnesota Life Insurance Company	300488	Agent - Health	4/22/2008
Active	Minnesota Life Insurance Company	300488	Agent - Life	4/22/2008
Active	Pruco Life Insurance Company	300954	Agent - Life	7/12/2024
Active	Securian Casualty Company	642441	Agent - Casualty	10/30/2019
Active	Securian Casualty Company	642441	Agent - Property	10/30/2019
Active	Tier One Insurance Company	301056	Agent - Health	3/10/2022
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2020
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/9/2013	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/9/2013	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	7/26/2015	12/8/2015
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	7/26/2015	12/8/2015
Inactive	Virginia Surety Company, Inc.	301022	Agent - Casualty	5/5/2010	2/1/2022
Inactive	Virginia Surety Company, Inc.	301022	Agent - Property	5/5/2010	2/1/2022
Active	Zurich American Insurance Company	301121	Agent - Health	4/27/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Demartino, Joseph N	393921	Administrator - Not Applicable	12/18/1995	1/12/1999
Active	Dudacek, Robert Joseph	652606	Administrator - Not Applicable	7/12/2017
Active	Dudacek, Robert Joseph	652606	Agent - Casualty	1/13/2016
Active	Dudacek, Robert Joseph	652606	Agent - Health	1/13/2016
Active	Dudacek, Robert Joseph	652606	Agent - Life	1/13/2016
Active	Dudacek, Robert Joseph	652606	Agent - Property	1/13/2016
Inactive	Ford, David Walter	308548	Administrator - Not Applicable	6/16/2003	10/31/2008
Inactive	Ford, David Walter	308548	Agent - Casualty	12/20/2006	10/31/2008
Inactive	Ford, David Walter	308548	Agent - Health	12/20/2006	10/31/2008
Inactive	Ford, David Walter	308548	Agent - Life	12/20/2006	10/31/2008
Inactive	Ford, David Walter	308548	Agent - Property	12/20/2006	10/31/2008
Inactive	Grimaldo, Rudy Edward	354423	Administrator - Not Applicable	1/26/1999	3/31/2001
Inactive	Pierce, Gary Lynn	308462	Administrator - Not Applicable	3/31/2001	8/31/2010
Inactive	Smith, Douglas Edward	639057	Administrator - Not Applicable	1/11/2008	3/31/2017
Inactive	Smith, Douglas Edward	639057	Agent - Casualty	12/17/2007	1/13/2016
Inactive	Smith, Douglas Edward	639057	Agent - Health	12/17/2007	1/13/2016
Inactive	Smith, Douglas Edward	639057	Agent - Life	12/17/2007	1/13/2016
Inactive	Smith, Douglas Edward	639057	Agent - Property	12/17/2007	1/13/2016