DEPARTMENT OF INSURANCE

Affiliations

Name	Healey Jr, Jeremiah Robert	DOIID	551319	NAIC NPN	398730

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	6/6/2002	6/30/2004
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	6/6/2002	6/30/2004
Inactive	Non Resident	Agent	Life	6/6/2002	6/30/2004
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	4/28/2003	6/30/2004
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	4/28/2003	6/30/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	6/6/2002	6/30/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	6/6/2002	6/30/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Variable Life and Variable Annuities	6/6/2002	6/30/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hancock Partners Insurance Agency Inc	551989	Agent - Health	8/26/2002	5/23/2003
Inactive	Hancock Partners Insurance Agency Inc	551989	Agent - Life	8/26/2002	5/23/2003
Inactive	Hancock Partners Insurance Agency Inc	551989	Agent - Variable Life and Variable Annuities	8/26/2002	5/23/2003
Inactive	JH Signature Insurance Agency, Inc.	519914	Agent - Health	4/25/2003	8/1/2003
Inactive	JH Signature Insurance Agency, Inc.	519914	Agent - Life	4/25/2003	8/1/2003
Inactive	JH Signature Insurance Agency, Inc.	519914	Agent - Variable Life and Variable Annuities	4/25/2003	8/1/2003