black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JEFFREY G. VAN SICLEN

PRODUCER NON-RESIDENT

License Number:
PRN218529
Status:
First Licensure:
07/12/2013
Cancel Date:
None

Mailing:
HINGHAM, MA 02043
Phone:
+1 (857) 277-0948
Fax:
+1 (857) 277-1363
Email:
jeff.vansiclen@mcadamfa.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/12/2013

Agency

Name Issue Date License Number Expiration Date Cancel Date
PURSHE KAPLAN STERLING INVESTMENTS INC
11/24/2014 AGN110520

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA
03/26/2021 LHF846
ATHENE ANNUITY AND LIFE COMPANY
07/21/2023 LHF64369
EQUITABLE FINANCIAL LIFE INSURANCE COMPANY
08/29/2017 LHF407 01/22/2024
EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA
05/21/2022 LHF916
FORTITUDE LIFE INSURANCE & ANNUITY COMPANY
08/08/2013 LHF770 04/17/2014
FORTITUDE LIFE INSURANCE & ANNUITY COMPANY
10/08/2014 LHF770 04/15/2016
PRUCO LIFE INSURANCE COMPANY
08/08/2013 LHF768 12/18/2023
VENERABLE INSURANCE AND ANNUITY COMPANY
09/07/2017 LHF841 05/18/2018

Authority

Description Issue Date Termination Date Status
HEALTH 07/12/2013 Active
LIFE 07/12/2013 Active
VARIABLE CONTRACTS 07/12/2013 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16762672

Other Addresses

Address Type
72 SHARP ST STE A9
HINGHAM, MA 02043-4362
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/13/2025 05:46:27 AM