Individual Information

ROBERT JOSEPH DUDACEK

BRENTWOOD, TN 37027-2023

Active

alee@franklin-madison.com

07/01/2013

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	533321	04/05/2007	Active	07/01/2013	07/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	04/05/2007	Active	07/01/2013
Health	04/05/2007	Active	07/01/2013
Life	04/05/2007	Active	07/01/2013
Property	04/05/2007	Active	07/01/2013

Company Name	Appointment Type	Status	Active Date
233
FEDERAL INSURANCE COMPANY	Casualty	Active	02/22/2021
	Health	Active	02/23/2021
	Property	Active	02/22/2021
310
Company Name	Appointment Type	Status	Active Date
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY	Health	Active	05/18/2021
	Life	Active	05/18/2021
11242
Company Name	Appointment Type	Status	Active Date
INDEPENDENCE AMERICAN INSURANCE COMPANY	Casualty	Active	11/07/2023
	Property	Active	11/07/2023
415
Company Name	Appointment Type	Status	Active Date
MINNESOTA LIFE INSURANCE COMPANY	Health	Active	02/21/2014
	Life	Active	02/21/2014
1095
Company Name	Appointment Type	Status	Active Date
SIRIUSPOINT AMERICA INSURANCE COMPANY	Health	Active	10/21/2019
1142
Company Name	Appointment Type	Status	Active Date
TIER ONE INSURANCE COMPANY	Health	Active	03/10/2022
672
Company Name	Appointment Type	Status	Active Date
UNITED OF OMAHA LIFE INSURANCE COMPANY	Health	Active	03/27/2019
	Life	Active	03/27/2019
692
Company Name	Appointment Type	Status	Active Date
UNITED STATES FIRE INSURANCE COMPANY	Casualty	Active	10/01/2019
	Property	Active	10/01/2019
737
Company Name	Appointment Type	Status	Active Date
ZURICH AMERICAN INSURANCE COMPANY	Health	Active	04/27/2023

row(s) 1 - 16 of 16

Organization	Association Type	Type	Beg dte	End dte
FRANKLIN MADISON GROUP LLC	Designated Resp Lic Prdcr	Agency	09/15/2020	-

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