PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameCorebridge Direct Insurance Services, Inc.DOIID514251NAIC NPN662881
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife9/1/2000 3/31/2026
ActiveNon ResidentAgentHealth9/1/2000 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAmerican General Life Insurance Company301585Agent - Health9/1/2000 
ActiveAmerican General Life Insurance Company301585Agent - Life9/1/2000 
InactiveAmerican National Insurance Company301861Agent - Health6/2/20155/25/2021
InactiveAmerican National Insurance Company301861Agent - Life6/2/20155/25/2021
InactiveAssurity Life Insurance Company301099Agent - Health5/2/200312/23/2004
InactiveAssurity Life Insurance Company301099Agent - Life5/2/200312/23/2004
InactiveAthene Annuity & Life Assurance Company301798Agent - Health9/1/20006/14/2011
InactiveAthene Annuity & Life Assurance Company301798Agent - Life9/1/20006/14/2011
InactiveAugustar Life Assurance Corporation301113Agent - Life9/1/200010/7/2010
ActiveBanner Life Insurance Company301696Agent - Life9/1/2000 
InactiveChase Insurance Life and Annuity Company300518Agent - Life9/7/20014/1/2007
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Health7/13/20105/17/2017
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life7/13/20103/10/2020
InactiveFirst Colony Life Insurance Company301179Agent - Health3/16/20011/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life3/16/20011/1/2007
InactiveGenworth Life Insurance Company300623Agent - Health9/1/200010/16/2020
InactiveGenworth Life Insurance Company300623Agent - Life9/1/200010/16/2020
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health9/1/200012/21/2016
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life9/1/200012/21/2016
ActiveGerber Life Insurance Company300529Agent - Health7/29/2010 
ActiveGerber Life Insurance Company300529Agent - Life7/29/2010 
ActiveGlobe Life and Accident Insurance Company300639Agent - Health9/1/2000 
ActiveGlobe Life and Accident Insurance Company300639Agent - Life9/1/2000 
InactiveHeritage Union Life Insurance Company300200Agent - Life3/10/20103/21/2012
InactiveJohn Hancock Life Insurance Company300821Agent - Health9/1/200012/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life9/1/200012/30/2009
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/19/2008 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life9/19/2008 
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life9/1/20002/23/2009
InactiveLiberty Life Insurance Company301542Agent - Health1/31/20036/30/2006
InactiveLiberty Life Insurance Company301542Agent - Life1/31/20036/30/2006
ActiveLincoln National Life Insurance Company (The)301382Agent - Health9/1/2000 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life9/1/2000 
InactiveLumico Life Insurance Company300354Agent - Life12/28/20189/5/2024
InactiveNorth American Company for Life and Health Insurance300291Agent - Health9/1/200012/13/2011
InactiveNorth American Company for Life and Health Insurance300291Agent - Life9/1/200012/13/2011
ActivePrincipal Life Insurance Company300129Agent - Health9/1/2000 
ActivePrincipal Life Insurance Company300129Agent - Life9/1/2000 
ActiveProtective Life Insurance Company300638Agent - Health9/1/2000 
ActiveProtective Life Insurance Company300638Agent - Life9/1/2000 
ActivePruco Life Insurance Company300954Agent - Health9/1/2000 
ActivePruco Life Insurance Company300954Agent - Life9/1/2000 
InactiveReassure America Life Insurance Company301902Agent - Health7/28/20039/16/2004
InactiveReassure America Life Insurance Company301902Agent - Life7/28/20039/16/2004
InactiveReliaStar Life Insurance Company301712Agent - Life9/1/20002/3/2017
InactiveRevol One Insurance Company300681Agent - Health9/1/20003/1/2010
InactiveRevol One Insurance Company300681Agent - Life8/3/201112/28/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Life4/23/20099/29/2012
InactiveStonebridge Life Insurance Company301614Agent - Health12/8/20002/10/2002
InactiveStonebridge Life Insurance Company301614Agent - Life12/8/20002/10/2002
InactiveThe Savings Bank Mutual Life Insurance Company of Massachusetts690290Agent - Life9/12/201311/29/2018
ActiveTransamerica Life Insurance Company300571Agent - Health10/1/2008 
ActiveTransamerica Life Insurance Company300571Agent - Life9/1/2000 
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Life10/24/200010/1/2005
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health9/1/200010/1/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life9/1/200010/1/2008
InactiveU.S. Financial Life Insurance Company301812Agent - Life11/9/20049/20/2007
InactiveUNUM Life Insurance Company of America300817Agent - Health6/27/200111/10/2004
InactiveUNUM Life Insurance Company of America300817Agent - Life6/27/200111/10/2004
InactiveWest Coast Life Insurance Company301607Agent - Life4/11/20011/31/2005
InactiveWestern-Southern Life Assurance Company301590Agent - Health7/31/20032/27/2006
InactiveWestern-Southern Life Assurance Company301590Agent - Life7/31/20032/27/2006
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHarris, Ronald John 341692Agent - Health9/1/20001/14/2016
InactiveHarris, Ronald John 341692Agent - Life9/1/20001/14/2016
ActiveImmordino, John Salvatore 776894Agent - Health1/19/2016 
ActiveImmordino, John Salvatore 776894Agent - Life1/19/2016 
ActiveWilshusen, Kevin James 526087Agent - Health1/19/2016 
ActiveWilshusen, Kevin James 526087Agent - Life1/19/2016 

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