Individual Information

DEREK SCOTT CANNON

Address:

SARATOGA SPRINGS, UT 84045

Status:

Active

Email:

dscannon@ft.newyorklife.com

Date:

11/24/2015

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	812301	04/06/2012	Active	11/24/2015	11/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Health	04/06/2012	Active	11/24/2015
Life	04/06/2012	Active	11/24/2015
Var. Annuities/Var. Life	04/06/2012	Active	11/24/2015
Health	03/17/2004	Inactive	02/08/2012
Life	03/17/2004	Inactive	02/08/2012
Limited Fixed Annuities	04/06/2012	Inactive	05/01/2015
Var. Annuities/Var. Life	08/15/2005	Inactive	02/08/2012

Company Name	Appointment Type	Status	Active Date
992
NEW YORK LIFE INSURANCE & ANNUITY CORPORATION	Health	Active	11/24/2015
	Life	Active	11/24/2015
	Var. Annuities/Var. Life	Active	11/24/2015
468
Company Name	Appointment Type	Status	Active Date
NEW YORK LIFE INSURANCE COMPANY	Health	Active	11/24/2015
	Life	Active	11/24/2015
1464
Company Name	Appointment Type	Status	Active Date
NYLIFE INSURANCE COMPANY OF ARIZONA	Life	Active	05/03/2023

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Organization	Association Type	Type	Beg dte	End dte
HAFEN & HAFEN INS GROUP LLC	Designated Resp Lic Prdcr	Agency	02/08/2021	-

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