DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hickey, David Jay	DOIID	587968	NAIC NPN	2042620

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/15/2004		11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	2/25/2021
Active	American General Life Insurance Company	301585	Agent - Life	11/27/2010
Inactive	American National Insurance Company	301861	Agent - Life	6/3/2015	6/19/2018
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	12/2/2010	11/8/2018
Inactive	First Colony Life Insurance Company	301179	Agent - Life	1/18/2005	1/1/2007
Inactive	Genworth Life Insurance Company	300623	Agent - Life	1/20/2005	12/14/2016
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/14/2016
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	12/2/2010	11/19/2017
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Life	2/3/2011	5/1/2018
Active	Metropolitan Life Insurance Company	301948	Agent - Life	12/2/2010
Active	Metropolitan Tower Life Insurance Company	300322	Agent - Life	5/4/2017
Active	New York Life Insurance Company	300431	Agent - Life	1/16/2015
Active	Pacific Life Insurance Company	301848	Agent - Life	1/8/2015
Active	Prudential Insurance Company of America	300784	Agent - Life	1/23/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Brant Hickey & Associates, Inc.	600542	Agent - Life	1/18/2005
Inactive	Your Own Retirement LLC	839902	Agent - Life	5/2/2014	3/31/2018