DEPARTMENT OF INSURANCE
Affiliations
NameSickles, Jeremy MonroeDOIID641599NAIC NPN8504984
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentVariable Life and Variable Annuities10/4/2006 7/31/2026
ActiveNon ResidentAgentLife10/4/2006 7/31/2026
ActiveNon ResidentAgentHealth5/28/2008 7/31/2026
* 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.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent05/15/202407/31/202405/07/202405/07/2024Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllianz Life Insurance Company of North America301791Agent - Health7/14/2010 
ActiveAllianz Life Insurance Company of North America301791Agent - Life7/14/2010 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities7/14/2010 
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health5/31/201711/1/2017
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life5/31/201711/1/2017
ActiveAmerican General Life Insurance Company301585Agent - Health9/13/2023 
ActiveAmerican General Life Insurance Company301585Agent - Life12/14/2017 
ActiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities12/14/2017 
ActiveAthene Annuity and Life Company301893Agent - Life7/6/2020 
ActiveAthene Annuity and Life Company301893Agent - Variable Life and Variable Annuities12/1/2020 
InactiveBanner Life Insurance Company301696Agent - Life3/2/20128/28/2015
ActiveBrighthouse Life Insurance Company301829Agent - Health11/14/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Life11/14/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities11/14/2014 
InactiveC.M. Life Insurance Company301335Agent - Health4/1/20095/9/2014
InactiveC.M. Life Insurance Company301335Agent - Life4/1/20095/9/2014
InactiveC.M. Life Insurance Company301335Agent - Variable Life and Variable Annuities4/1/20095/9/2014
InactiveEmpower Annuity Insurance Company of America300259Agent - Life7/18/20125/9/2014
InactiveEquitable Financial Life Insurance Company300808Agent - Health10/20/201112/28/2020
InactiveEquitable Financial Life Insurance Company300808Agent - Life10/20/201112/20/2018
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities10/20/20115/7/2019
InactiveEverlake Life Insurance Company300873Agent - Life12/26/200712/16/2013
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities12/26/200712/16/2013
ActiveForethought Life Insurance Company301407Agent - Health11/6/2014 
ActiveForethought Life Insurance Company301407Agent - Life11/6/2014 
ActiveForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities11/6/2014 
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life8/8/20085/14/2014
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities8/8/20085/14/2014
InactiveGenworth Life Insurance Company300623Agent - Health3/31/200912/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life3/31/200912/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health7/8/20101/5/2015
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life7/8/20101/5/2015
ActiveIntegrity Life Insurance Company301687Agent - Life7/29/2015 
ActiveIntegrity Life Insurance Company301687Agent - Variable Life and Variable Annuities7/29/2015 
InactiveJackson National Life Insurance Company300486Agent - Life5/2/20147/19/2022
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities5/2/20147/19/2022
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health8/2/2019 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life8/2/2019 
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities11/14/20074/2/2013
InactiveLincoln Benefit Life Company301110Agent - Health9/13/20107/14/2014
InactiveLincoln Benefit Life Company301110Agent - Life9/13/20107/14/2014
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities9/13/20107/14/2014
InactiveLincoln Life Assurance Company of Boston301915Agent - Life6/25/20105/13/2014
ActiveLincoln National Life Insurance Company (The)301382Agent - Health5/28/2008 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life4/30/2008 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities4/30/2008 
ActiveMassMutual Ascend Life Insurance Company300320Agent - Life5/6/2024 
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health4/1/20095/9/2014
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life2/6/20182/3/2021
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Variable Life and Variable Annuities4/1/20095/9/2014
InactiveMetLife Investors Insurance Company301872Agent - Health6/23/20096/20/2014
InactiveMetLife Investors Insurance Company301872Agent - Life6/23/20096/20/2014
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities6/23/20096/20/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Health6/23/200911/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life6/23/200911/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities6/23/200911/14/2014
InactiveMetropolitan Life Insurance Company301948Agent - Health11/16/201611/21/2019
InactiveMetropolitan Life Insurance Company301948Agent - Life11/16/201611/21/2019
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities11/16/201611/21/2019
ActiveMidland National Life Insurance Company300923Agent - Life8/22/2016 
ActiveMidland National Life Insurance Company300923Agent - Variable Life and Variable Annuities8/22/2016 
ActiveMinnesota Life Insurance Company300488Agent - Health6/30/2017 
ActiveMinnesota Life Insurance Company300488Agent - Life6/30/2017 
ActiveMinnesota Life Insurance Company300488Agent - Variable Life and Variable Annuities6/30/2017 
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health5/11/202012/12/2022
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life5/11/202012/12/2022
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities5/11/202012/12/2022
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Life5/10/2023 
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities5/10/202311/15/2023
InactiveNorth American Company for Life and Health Insurance300291Agent - Life5/20/201312/22/2016
ActivePacific Life Insurance Company301848Agent - Health7/23/2012 
ActivePacific Life Insurance Company301848Agent - Life10/19/2006 
ActivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities10/19/2006 
ActivePrincipal National Life Insurance Company301926Agent - Life3/14/2017 
ActiveProtective Life Insurance Company300638Agent - Health3/18/2011 
ActiveProtective Life Insurance Company300638Agent - Life3/18/2011 
ActiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities3/18/2011 
InactivePruco Life Insurance Company300954Agent - Health4/1/20095/14/2014
InactivePruco Life Insurance Company300954Agent - Life3/20/201712/21/2022
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities3/20/201712/21/2022
ActiveReliance Standard Life Insurance Company300584Agent - Life7/3/2014 
ActiveState Life Insurance Company301497Agent - Health5/17/2010 
ActiveState Life Insurance Company301497Agent - Life5/17/2010 
ActiveSun Life Assurance Company of Canada301811Agent - Life11/13/2009 
ActiveSymetra Life Insurance Company301691Agent - Health3/6/2014 
ActiveSymetra Life Insurance Company301691Agent - Life3/6/2014 
ActiveSymetra Life Insurance Company301691Agent - Variable Life and Variable Annuities3/6/2014 
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities10/25/200611/18/2014
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities10/25/200611/18/2014
InactiveTransamerica Life Insurance Company300571Agent - Health2/4/20106/10/2014
ActiveTransamerica Life Insurance Company300571Agent - Life5/20/2015 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities5/20/2015 
InactiveWestern National Life Insurance Company300461Agent - Life10/20/200612/31/2012
InactiveWestern and Southern Life Insurance Company301744Agent - Life12/5/200811/9/2011
InactiveWestern-Southern Life Assurance Company301590Agent - Life10/19/20065/15/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFifth Third Insurance Agency Inc399341Agent - Life10/24/20066/17/2015
InactiveFifth Third Insurance Agency Inc399341Agent - Variable Life and Variable Annuities10/24/20066/17/2015
ActiveLPL FINANCIAL LLC399327Agent - Life5/1/2014 
ActiveLPL FINANCIAL LLC399327Agent - Variable Life and Variable Annuities5/1/2014 
ActiveLPL FINANCIAL LLC399327Agent - Health5/1/2014 
ActiveLinsco/Private Ledger Insurance Associates, Inc.400524Agent - Life5/1/2014 
ActiveLinsco/Private Ledger Insurance Associates, Inc.400524Agent - Health5/1/2014 

© Commonwealth of Kentucky. All rights reserved.