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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2026	06/30/2026

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
Active	American General Life Insurance Company	301585	Agent - Health	1/23/2025
Active	American General Life Insurance Company	301585	Agent - Life	1/23/2025
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
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	5/18/2023	12/26/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/15/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/15/2021	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/15/2021	4/15/2025
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
Active	United States Fire Insurance Company	582240	Agent - Health	11/17/2025
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/4/2024	10/22/2025
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/4/2024	10/22/2025
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