DEPARTMENT OF INSURANCE

Affiliations

Name	Corebridge Direct Insurance Services, Inc.	DOIID	514251	NAIC NPN	662881

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/1/2000	3/31/2026
Active	Non Resident	Agent	Health	9/1/2000	3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American General Life Insurance Company	301585	Agent - Health	9/1/2000
Active	American General Life Insurance Company	301585	Agent - Life	9/1/2000
Inactive	American National Insurance Company	301861	Agent - Health	6/2/2015	5/25/2021
Inactive	American National Insurance Company	301861	Agent - Life	6/2/2015	5/25/2021
Inactive	Assurity Life Insurance Company	301099	Agent - Health	5/2/2003	12/23/2004
Inactive	Assurity Life Insurance Company	301099	Agent - Life	5/2/2003	12/23/2004
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	9/1/2000	6/14/2011
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	9/1/2000	6/14/2011
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	9/1/2000	10/7/2010
Active	Banner Life Insurance Company	301696	Agent - Life	9/1/2000
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	9/7/2001	4/1/2007
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	7/13/2010	5/17/2017
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	7/13/2010	3/10/2020
Inactive	First Colony Life Insurance Company	301179	Agent - Health	3/16/2001	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	3/16/2001	1/1/2007
Inactive	Genworth Life Insurance Company	300623	Agent - Health	9/1/2000	10/16/2020
Inactive	Genworth Life Insurance Company	300623	Agent - Life	9/1/2000	10/16/2020
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	9/1/2000	12/21/2016
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	9/1/2000	12/21/2016
Active	Gerber Life Insurance Company	300529	Agent - Health	7/29/2010
Active	Gerber Life Insurance Company	300529	Agent - Life	7/29/2010
Active	Globe Life and Accident Insurance Company	300639	Agent - Health	9/1/2000
Active	Globe Life and Accident Insurance Company	300639	Agent - Life	9/1/2000
Inactive	Heritage Union Life Insurance Company	300200	Agent - Life	3/10/2010	3/21/2012
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	9/1/2000	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	9/1/2000	12/30/2009
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	9/1/2000	2/23/2009
Inactive	Liberty Life Insurance Company	301542	Agent - Health	1/31/2003	6/30/2006
Inactive	Liberty Life Insurance Company	301542	Agent - Life	1/31/2003	6/30/2006
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/1/2000
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/1/2000
Inactive	Lumico Life Insurance Company	300354	Agent - Life	12/28/2018	9/5/2024
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	9/1/2000	12/13/2011
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	9/1/2000	12/13/2011
Active	Principal Life Insurance Company	300129	Agent - Health	9/1/2000
Active	Principal Life Insurance Company	300129	Agent - Life	9/1/2000
Active	Protective Life Insurance Company	300638	Agent - Health	9/1/2000
Active	Protective Life Insurance Company	300638	Agent - Life	9/1/2000
Active	Pruco Life Insurance Company	300954	Agent - Health	9/1/2000
Active	Pruco Life Insurance Company	300954	Agent - Life	9/1/2000
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	7/28/2003	9/16/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	7/28/2003	9/16/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	9/1/2000	2/3/2017
Inactive	Revol One Insurance Company	300681	Agent - Health	9/1/2000	3/1/2010
Inactive	Revol One Insurance Company	300681	Agent - Life	8/3/2011	12/28/2012
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	4/23/2009	9/29/2012
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	12/8/2000	2/10/2002
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	12/8/2000	2/10/2002
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	9/12/2013	11/29/2018
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2008
Active	Transamerica Life Insurance Company	300571	Agent - Life	9/1/2000
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	10/24/2000	10/1/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	9/1/2000	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	9/1/2000	10/1/2008
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	11/9/2004	9/20/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	6/27/2001	11/10/2004
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	6/27/2001	11/10/2004
Inactive	West Coast Life Insurance Company	301607	Agent - Life	4/11/2001	1/31/2005
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	7/31/2003	2/27/2006
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	7/31/2003	2/27/2006

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Harris, Ronald John	341692	Agent - Health	9/1/2000	1/14/2016
Inactive	Harris, Ronald John	341692	Agent - Life	9/1/2000	1/14/2016
Active	Immordino, John Salvatore	776894	Agent - Health	1/19/2016
Active	Immordino, John Salvatore	776894	Agent - Life	1/19/2016
Active	Wilshusen, Kevin James	526087	Agent - Health	1/19/2016
Active	Wilshusen, Kevin James	526087	Agent - Life	1/19/2016