Individual Information

DEREK R BANKS

HENDERSON, NV 89012

Active

derek.banks@american-national.com

11/12/1999

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Res. Producer/Producer Firm	63117	10/01/2001	Active	10/01/2001	08/31/2024

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
Var. Annuities/Var. Life	10/01/2001	Active	10/01/2001
Casualty	11/12/1999	Inactive	10/01/2001
Health	11/12/1999	Inactive	10/01/2001
Life	11/12/1999	Inactive	10/01/2001
Property	11/12/1999	Inactive	10/01/2001
Var. Annuities/Var. Life	08/24/2000	Inactive	10/01/2001

Company Name	Appointment Type	Status	Active Date
1795
AMERICAN MODERN PROPERTY AND CASUALTY INSURANCE COMPANY	Casualty	Active	07/04/2019
	Property	Active	11/02/2018
1097
Company Name	Appointment Type	Status	Active Date
AMERICAN NATIONAL GENERAL INSURANCE COMPANY	Casualty	Active	11/12/1999
	Property	Active	11/12/1999
63
Company Name	Appointment Type	Status	Active Date
AMERICAN NATIONAL INSURANCE COMPANY	Health	Active	11/12/1999
	Life	Active	11/12/1999
	Var. Annuities/Var. Life	Active	08/24/2000
856
Company Name	Appointment Type	Status	Active Date
AMERICAN NATIONAL PROPERTY AND CASUALTY COMPANY	Casualty	Active	11/12/1999
	Property	Active	11/12/1999
1639
Company Name	Appointment Type	Status	Active Date
COAST NATIONAL INSURANCE COMPANY	Casualty	Active	12/15/2021
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	08/08/2003
	Property	Active	08/08/2003
897
Company Name	Appointment Type	Status	Active Date
JACKSON NATIONAL LIFE INSURANCE COMPANY	Life	Active	07/28/2011
	Var. Annuities/Var. Life	Active	07/28/2011

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