DEPARTMENT OF INSURANCE

Affiliations

Name	Hickman, Frank	DOIID	610604	NAIC NPN	8417781

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	5/28/2008	1/31/2015
Inactive	Non Resident	Agent	Health	6/21/2005	1/31/2015
Inactive	Non Resident	Agent	Life	6/21/2005	1/31/2015
* 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	American United Life Insurance Company	300498	Agent - Health	5/31/2011	10/9/2013
Inactive	American United Life Insurance Company	300498	Agent - Life	5/31/2011	10/9/2013
Inactive	American United Life Insurance Company	300498	Agent - Variable Life and Variable Annuities	5/31/2011	5/28/2013
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Health	9/21/2005	4/4/2011
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Life	9/21/2005	4/4/2011
Inactive	New York Life Insurance Company	300431	Agent - Health	9/21/2005	4/4/2011
Inactive	New York Life Insurance Company	300431	Agent - Life	9/21/2005	4/4/2011
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	9/21/2005	4/4/2011
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	9/21/2005	4/4/2011
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Variable Life and Variable Annuities	5/30/2008	4/4/2011
Inactive	Pioneer Mutual Life Insurance Company	501695	Agent - Health	5/31/2011	10/9/2013
Inactive	Pioneer Mutual Life Insurance Company	501695	Agent - Life	5/31/2011	10/9/2013
Inactive	State Life Insurance Company	301497	Agent - Health	5/31/2011	10/9/2013
Inactive	State Life Insurance Company	301497	Agent - Life	5/31/2011	10/9/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	NYLIFE Securities, LLC	645470	Agent - Life	6/30/2008	4/4/2011
Inactive	NYLIFE Securities, LLC	645470	Agent - Health	6/30/2008	4/4/2011
Inactive	NYLIFE Securities, LLC	645470	Agent - Variable Life and Variable Annuities	6/30/2008	4/4/2011