Search → MADISON NATIONAL LIFE INSURANCE COMPANY
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
MADISON NATIONAL LIFE INSURANCE COMPANY
INSURANCE COMPANY
License Number:
LHF120427
Status:
First Licensure:
11/04/2005
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
Street Location:
1241 JOHN Q HAMMONS DR
MADISON, WI 53717-1929
MADISON, WI 53717-1929
Mailing:
ANITA L. DULMES
PO BOX 5008
MADISON, WI 53705-0008
PO BOX 5008
MADISON, WI 53705-0008
Phone:
+1 (800) 356-9601
Fax:
+1 (608) 830-2700
| License Type | Start Date | End Date |
|---|---|---|
| INSURANCE COMPANY | 11/04/2005 | 08/10/2025 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| ANGELES ALVAREZ |
06/03/2020 | PRN290334 | ||
| ASSURANCE GROUP LLC |
09/21/2010 | AGN115368 | ||
| CHRISTOPHER JOSEPH BADGER |
08/14/2017 | PRN224654 | ||
| MAX BAWEL |
10/09/2017 | PRN281032 | ||
| DENA K. BELL |
07/23/2020 | PRN271999 | ||
| HECTOR G. BENITEZ |
03/21/2018 | PRN171778 | ||
| DANIEL FELIPE BORRERO |
02/21/2018 | PRN300571 | ||
| JUSTIN ROBERT FORREST BOSTON |
03/22/2019 | PRN297097 | ||
| LISA CATHERINE BOUCHER |
11/09/2015 | PRR46760 | ||
| KRISTEN DIANN BOYD |
09/02/2020 | PRN273720 | ||
| ROBIN DANA BRAND |
05/04/2020 | PRN325791 | ||
| BROGUE INSURANCE AGENCY |
06/23/2017 | AGR277811 | ||
| SVETLANA RENEE BROOKS |
10/21/2020 | PRN209312 | ||
| CHRISTOPHER BO BURKE |
03/21/2017 | PRN181070 | ||
| CORY L. CAMPBELL |
10/04/2019 | PRN224931 | ||
| JACQUELINE ANDREA CAPATULA |
12/29/2016 | PRN258461 | ||
| MICHELLE NADINE CARSON CHASTAIN |
02/09/2017 | PRN267736 | ||
| KEIYANA CARSON |
10/05/2020 | PRN272170 | ||
| TOMIKA CASTLE |
12/17/2016 | PRN233253 | ||
| DENIS CHABOT |
04/24/2017 | PRR236298 | ||
| ABIGAIL CHARLES |
08/31/2020 | PRN359578 | ||
| GREGORY GRANT CHECKI |
06/03/2020 | PRN266754 | ||
| SAMANTHA CHIN |
09/10/2020 | PRN297530 | ||
| LANCE E. COLEMAN |
08/31/2020 | PRN359483 | ||
| TYLER BRYAN COLLIER |
12/23/2016 | PRN278138 | ||
| MARCEL COLLINS |
07/08/2020 | PRN347652 | ||
| COMPLETE BENEFIT SOLUTIONS, LLC |
02/01/2021 | AGN315194 | ||
| DANIEL DAVID COTE |
04/21/2015 | PRR22763 | ||
| JASON ALLEN CRAVEN |
11/10/2017 | PRN296680 | ||
| ROBERT TULE CREIGHTON |
05/11/2017 | PRN280943 | ||
| SHANE CRELLY |
06/14/2019 | PRN190182 | ||
| CROSS BENEFIT SOLUTIONS |
11/09/2015 | AGR47532 | ||
| DEBORAH CROSS-MCCRAY |
07/23/2020 | PRN231153 | ||
| LYNNE KELLER CULLINAN |
04/10/2020 | PRN352456 | ||
| JUDITH S. CUNNINGHAM |
01/26/2022 | PRN409055 | ||
| CHERYL PAULA DANIELS |
04/10/2020 | PRN352449 | ||
| DELISLE INSURANCE & RETIREMENT, LLC |
07/11/2024 | AGR364765 | ||
| JEFFREY SCOTT DELISLE |
07/18/2024 | PRR40322 | ||
| DESIGNATED AGENT CO INC |
06/05/2018 | AGN250095 | ||
| DOMINIQUE ANDREA DIAZ |
09/03/2020 | PRN359747 | ||
| BRIAN R. DOW |
12/15/2022 | PRN221549 | ||
| MIRANDA CAMILLE DRAYTON |
06/10/2020 | PRN340505 | ||
| DOUGLAS A. DULAC |
01/07/2015 | PRR18438 | ||
| EDUCATED INSURANCE & RETIREMENT LLC |
08/14/2024 | AGR191466 | ||
| HENRY J. EHRSAM |
04/27/2023 | PRN420647 | ||
| SCOTT D. EISNER |
01/05/2017 | PRN161265 | ||
| STEPHANIE MICHELE ESPINO |
03/13/2024 | PRN467711 | ||
| KAREN JEANE FERNOW |
02/18/2020 | PRN348558 | ||
| SARAH ALEXIS FERRARO |
08/31/2020 | PRN359451 | ||
| SEAN MATHEW FISHBACK |
08/31/2020 | PRN359492 | ||
| SALPY FOWLER |
11/27/2018 | PRN316707 | ||
| JAMIE MICHAEL FURST |
10/21/2020 | PRN124962 | ||
| AMANY SAAD GARCIA |
07/01/2020 | PRN226381 | ||
| TANISHA SHAREESE GARDNER |
09/29/2020 | PRN285060 | ||
| MATTHEW JAMES GILBERT |
11/20/2017 | PRN295469 | ||
| GERRY GRAY JR |
03/16/2020 | PRN350898 | ||
| CRAIG GRUENBAUM |
01/11/2018 | PRN294703 | ||
| DANIEL RICHARD GUERETTE |
05/15/2015 | PRR7350 | ||
| BLAKE ALAN GUERRERO |
07/24/2017 | PRN280847 | ||
| DAVID B. HARMON |
09/15/2020 | PRN351602 | ||
| STEPHANIE RENEE HIGHGATE |
10/21/2020 | PRN274162 | ||
| JOSHUA M. HOFFERT |
03/28/2019 | PRN313837 | ||
| BRUNO A. HOLANDA |
02/07/2017 | PRN278137 | ||
| ROTH EVAN HUSTON |
05/28/2019 | PRN270622 | ||
| IHC SPECIALTY BENEFITS INC |
03/22/2017 | AGN203510 | ||
| THE J P FARLEY CORPORATION |
04/21/2010 | AGN176227 | ||
| J T ROSBOROUGH INC |
05/15/2015 | AGR3706 | ||
| SHAMEKA JACKSON |
09/03/2020 | PRN274695 | ||
| LEOPOLD ALTOVISE JAMES |
09/02/2020 | PRN172073 | ||
| RENEE MARGARET JEFFRIES |
03/09/2017 | PRN236211 | ||
| RONNIE JONES |
08/19/2020 | PRN274160 | ||
| JAMES KELLEY |
03/22/2018 | PRN215174 | ||
| MICHAEL PATRICK KIELTY |
01/09/2019 | PRN314778 | ||
| JOHN MICHAEL KIMLING |
10/26/2018 | PRN317406 | ||
| PAUL JOSEPH KINNEY |
07/18/2024 | PRR189702 | ||
| JASON KORMANIK |
03/27/2019 | PRN187230 | ||
| ANDREA FAYE KROPP |
05/09/2018 | PRN302913 | ||
| CHRISTIAN ALEXANDER LAMBERT |
04/21/2020 | PRN352730 | ||
| FABIANA LAPLANTE |
02/16/2018 | PRN287382 | ||
| TRICA LYN LASSWELL |
04/13/2020 | PRN352463 | ||
| JANE C. LEBRUN |
08/01/2017 | PRR34250 | ||
| TERRI LYNN LEISHEAR |
10/10/2017 | PRN287488 | ||
| WILLIAM LONG |
04/10/2020 | PRN352445 | ||
| THE LOOMIS COMPANY |
09/08/2017 | AGN46262 | ||
| JAMES RUSSELL LOOMIS JR |
09/08/2017 | PRN248527 | ||
| ANTHONY GEORGE LOPEZ |
11/06/2020 | PRN129288 | ||
| MARKET PLACE INSURANCE AGENCY LLC |
04/24/2017 | AGR275030 | ||
| BRITTANY THERESE MASSEO |
01/23/2018 | PRN301477 | ||
| TIMOTHY JAMES MCKENNEY |
07/23/2019 | PRN199846 | ||
| KEARSTIN J. MCNAMARA |
03/15/2017 | PRN79373 | ||
| SHERI MEANS |
09/03/2020 | PRN359387 | ||
| MARIA MELENDEZ SOTO |
02/16/2018 | PRN253989 | ||
| DERIK KYLE MENDEZ |
03/29/2017 | PRN281920 | ||
| CODY MERRILL |
08/22/2024 | PRR275323 | ||
| EDUARDO C. MIRANDA |
02/16/2018 | PRN296217 | ||
| ASHLEY A. MOORE |
09/11/2020 | PRN238868 | ||
| NATALIE MORALES-ARROYO |
06/16/2020 | PRN354970 | ||
| MORGAN WHITE LTD |
07/22/2009 | AGN148575 | ||
| ROMAN MUNIZ |
05/09/2020 | PRN247558 | ||
| NATIONAL INSURANCE SERVICES OF WISCONSIN INC |
02/08/2023 | AGN421264 | ||
| MEGHAN ROSE NEALIS |
02/27/2017 | PRN279132 | ||
| ROSIE NELSON |
10/23/2020 | PRN340570 | ||
| BRYAN DOUGLAS NEWTON |
10/31/2017 | PRN245884 | ||
| NORTHERN BENEFITS OF MAINE LLC |
03/21/2016 | AGR118447 | ||
| NORTHERN INSURANCE AND FINANCIAL SERVICES, LLC |
08/22/2024 | AGR383770 | ||
| DAVID NOVOA |
11/17/2014 | PRN170922 | ||
| CHRISTOPHER EDWARD O CONNOR |
12/30/2019 | PRN151589 | ||
| JANAE RASHAUN OLIVER |
08/26/2020 | PRN271462 | ||
| MONICA NICOLE ORTEGA-ASHBAUGH |
10/21/2020 | PRN257156 | ||
| PAQUIN & CARROLL LLC |
04/29/2015 | AGR245816 | ||
| CEZILIA MARIE PEREZ |
08/31/2020 | PRN359477 | ||
| NICHOLAS A. PURSLEY |
10/19/2020 | PRN335920 | ||
| ANTHONY MICHAEL RENDE |
01/17/2018 | PRN297841 | ||
| PHILLIP MICHAEL RESLER |
04/21/2020 | PRN352495 | ||
| LOVELL REVELS |
10/10/2017 | PRN264845 | ||
| DOUGLAS J. REYNAERT |
12/20/2016 | PRN279137 | ||
| EVA REYNAERT |
04/15/2019 | PRN279130 | ||
| LISA RICCIARDI |
08/15/2019 | PRN334250 | ||
| ALFRED EUGENE RICHARDSON |
08/31/2020 | PRN359456 | ||
| HANI S. RIHAN |
05/11/2017 | PRN214930 | ||
| ADRIAN SKY ROGERS |
04/13/2020 | PRN352490 | ||
| NORMA JEAN ROSS |
09/11/2020 | PRN238342 | ||
| ERIC KENNETH RUSSOW |
08/20/2019 | PRN333882 | ||
| TIFFANY D. SANDERS |
04/15/2019 | PRN200197 | ||
| JOSHUA SAWICKI |
06/08/2018 | PRN233381 | ||
| AARON ROBERT SCHEERER |
04/09/2020 | PRN216327 | ||
| WALTER MICHAEL SCHROEDER |
10/27/2015 | PRN251952 | ||
| TARSHA YOLANDER SEAY |
03/24/2017 | PRN281631 | ||
| DAVID PAUL SENNE |
10/17/2018 | PRN155368 | ||
| SEVEN CORNERS INC |
07/05/2016 | AGN139783 | ||
| MATTHEW ALAN SHAFER |
12/20/2016 | PRN199920 | ||
| SHIELDS BROKERAGE LLC |
09/06/2007 | AGN35604 | ||
| CHRISTOPHER ARTHUR SHIELDS |
09/06/2007 | PRN110975 | ||
| RAJEEV SHRIVASTAVA |
05/31/2018 | PRN288984 | ||
| RICHARD LOUIS SIROIS |
01/12/2015 | PRN3973 | ||
| KEITH E. SMITH |
05/15/2015 | PRR38158 | ||
| STERLING & STERLING LLC |
08/19/2009 | AGN37483 | ||
| DENA STEWART |
09/03/2020 | PRN359536 | ||
| TYLER STRAND |
03/28/2019 | PRN201746 | ||
| DAWN MARIE STRELAU |
04/10/2020 | PRN352451 | ||
| KIESHA A. STRONG |
06/04/2020 | PRN254565 | ||
| GAYLE ROBIN TARNOR-SANTONELLI |
01/12/2018 | PRN237389 | ||
| ALEX JENNINGS TESTER |
05/09/2020 | PRN353691 | ||
| ERIC PETER TINLEY |
03/06/2018 | PRN294874 | ||
| TOBIAS & ASSOCIATES |
09/28/2015 | AGN246527 | ||
| SAMUEL TURLEY |
10/26/2018 | PRN318970 | ||
| KEYANA DESTINY VALANTIN |
12/03/2018 | PRN319120 | ||
| KELLY B. VASSEY |
01/09/2019 | PRN274784 | ||
| DOMINIC P. VERMETTE |
08/14/2024 | PRR51070 | ||
| VISITORSCOVERAGE INC |
05/31/2018 | AGN292418 | ||
| WELLFLEET BENEFITS LLC |
03/21/2016 | AGN177614 | ||
| KEITH A. WESLEY |
09/15/2020 | PRN360727 | ||
| RANDALL KEITH ZWINK |
07/02/2020 | PRN210397 |
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| LIFE | 11/04/2005 | Active | |
| HEALTH | 11/04/2005 | Active |
| Type | Contact |
|---|---|
| PRODUCER LICENSING CONTACT | MARSHALL WALD MARSHALL WALD PO BOX 5008 MADISON, WI 53705-0008 Phone: +1 (800) 356-9601 Email: mnlagentappts@madisonlife.com |
| SERVICE OF PROCESS | CORPORATION SERVICE COMPANY 45 MEMORIAL CIR AUGUSTA, ME 04330-6400 Phone: +1 (800) 927-9800 Fax: +1 (302) 636-5454 Email: sop@cscglobal.com |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN)
| Phone Number | Type |
|---|---|
| +1 (608) 830-2000 | Office |
An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.
Date: 05/17/2025 01:19:55 AM
