Individual Information

DAVID DEAN CORBETT

LAS VEGAS, NV 89166

Active

david@corbettinsurance.biz

03/23/1995

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Res. Producer/Producer Firm	42185	10/01/2001	Active	10/01/2001	03/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/01/2001	Active	10/01/2001
Health	10/01/2001	Active	10/01/2001
Life	10/01/2001	Active	10/01/2001
Property	10/01/2001	Active	10/01/2001
Casualty	03/23/1995	Inactive	10/01/2001
Health	03/23/1995	Inactive	10/01/2001
Life	03/23/1995	Inactive	10/01/2001
Property	03/23/1995	Inactive	10/01/2001
Surety	03/23/1995	Inactive	01/01/2020
Surety	10/01/2001	Inactive	01/01/2020

Company Name	Appointment Type	Status	Active Date
104
AMERITAS LIFE INSURANCE CORPORATION	Health	Active	10/09/2019
	Life	Active	10/09/2019
283
Company Name	Appointment Type	Status	Active Date
BANNER LIFE INSURANCE COMPANY	Health	Active	10/22/2021
	Life	Active	04/05/2021
1453
Company Name	Appointment Type	Status	Active Date
NATIONWIDE LIFE AND ANNUITY INSURANCE COMPANY	Health	Active	09/08/2023
	Life	Active	09/08/2023
473
Company Name	Appointment Type	Status	Active Date
NORTH AMERICAN COMPANY FOR LIFE & HEALTH INSURANCE	Life	Active	10/13/2024
512
Company Name	Appointment Type	Status	Active Date
PACIFIC LIFE INSURANCE COMPANY	Life	Active	07/15/2021
1143
Company Name	Appointment Type	Status	Active Date
PRINCIPAL NATIONAL LIFE INSURANCE COMPANY	Life	Active	09/11/2023
549
Company Name	Appointment Type	Status	Active Date
PROTECTIVE LIFE INSURANCE COMPANY	Health	Active	02/04/2021
	Life	Active	02/04/2021
817
Company Name	Appointment Type	Status	Active Date
PRUCO LIFE INSURANCE COMPANY	Life	Active	03/25/2022
890
Company Name	Appointment Type	Status	Active Date
TRANSAMERICA LIFE INSURANCE COMPANY	Health	Active	08/15/2022
	Life	Active	08/15/2022

row(s) 1 - 14 of 14

Organization	Association Type	Type	Beg dte	End dte
CORBETT INSURANCE AGENCY	Designated Resp Lic Prdcr	Agency	03/13/2020	-

1 - 1