DEPARTMENT OF INSURANCE

Affiliations

Name	Hickman, Daniel Jacob	DOIID	691202	NAIC NPN	9390948

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	10/14/2015	8/31/2017
Inactive	Non Resident	Agent	Life	9/5/2014	8/31/2017
Inactive	Non Resident	Agent	Health	9/5/2014	11/25/2015
Inactive	Non Resident	Agent	Personal Lines	10/11/2008	9/13/2011
* 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	Garrison Property and Casualty Insurance Company	301957	Agent - Personal Lines	10/17/2008	9/13/2011
Inactive	Pruco Life Insurance Company	300954	Agent - Life	10/21/2015	9/21/2016
Inactive	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	10/21/2015	9/21/2016
Inactive	Prudential Insurance Company of America	300784	Agent - Life	10/21/2015	9/21/2016
Inactive	Prudential Insurance Company of America	300784	Agent - Variable Life and Variable Annuities	10/21/2015	9/21/2016
Inactive	Time Insurance Company	300683	Agent - Health	9/9/2014	6/24/2015
Inactive	Time Insurance Company	300683	Agent - Life	9/9/2014	6/24/2015
Inactive	USAA Casualty Insurance Company	300995	Agent - Personal Lines	10/17/2008	9/13/2011
Inactive	USAA General Indemnity Company	300131	Agent - Personal Lines	10/17/2008	9/13/2011
Inactive	United Services Automobile Association	300158	Agent - Personal Lines	10/17/2008	9/13/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Personal Lines	12/28/2010	9/13/2011