DEPARTMENT OF INSURANCE

Name	Hatfield, Jerry	DOIID	385975	NAIC NPN	549221

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	11/6/2021	12/31/2023
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	10/31/2002	12/31/2005
Inactive	Non Resident	Agent	Life	11/6/2021	12/31/2023

*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.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	6655 E Renegade Trail Hereford, AZ 85615
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(704) 496-6000
Fax	(859) 341-4044