DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hickey, Gary P	DOIID	354877	NAIC NPN	1631040

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	9/15/1989	10/26/2006
Active	Non Resident	Agent	Personal Lines	5/1/2013		7/31/2026
Active	Non Resident	Agent	Casualty	6/18/2012		7/31/2026
Active	Non Resident	Agent	Property	6/18/2012		7/31/2026
Active	Non Resident	Agent	Life	2/24/2003		7/31/2026
Active	Non Resident	Agent	Health	2/24/2003		7/31/2026
* 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	05/15/2024	07/31/2024	06/11/2024	06/11/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	10/13/2015	8/1/2017
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	10/13/2015	8/1/2017
Active	Greenwich Insurance Company	301754	Agent - Casualty	9/17/2012
Active	Greenwich Insurance Company	301754	Agent - Property	9/17/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	10/13/2015	8/1/2017
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	10/13/2015	8/1/2017
Active	New York Life Insurance Company	300431	Agent - Health	6/29/2006
Active	New York Life Insurance Company	300431	Agent - Life	6/29/2006
Active	SAFECO Insurance Company of America	300159	Agent - Personal Lines	10/2/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIS Administrators Inc	518001	Administrator - Not Applicable	10/31/2000	10/26/2006
Inactive	AIS Administrators Inc	518001	Agent - Health	4/12/2003	6/5/2006
Inactive	AIS Administrators Inc	518001	Agent - Life	4/12/2003	6/5/2006
Inactive	Jardine Group Services Corporation	394908	Administrator - Not Applicable	9/15/1989	1/17/1996
Active	Pearl Carroll & Assoc LLC	608112	Agent - Health	7/7/2006
Active	Pearl Carroll & Assoc LLC	608112	Agent - Life	7/7/2006
Active	Pearl Carroll & Assoc LLC	608112	Agent - Property	3/3/2017
Active	Pearl Carroll & Assoc LLC	608112	Agent - Casualty	3/3/2017
Active	Pearl Carroll & Assoc LLC	608112	Agent - Personal Lines	3/3/2017