Individual Information

KEVIN JAMES WILSHUSEN

SAN DIEGO, CA 92123-2691

Active

cbdirectlicensing@corebridgefinancial.com

07/09/2001

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	77506	10/01/2001	Active	10/01/2001	07/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Health	10/01/2001	Active	10/01/2001
Life	10/01/2001	Active	10/01/2001
Health	07/09/2001	Inactive	10/01/2001
Life	07/09/2001	Inactive	10/01/2001

Company Name	Appointment Type	Status	Active Date
43
AMERICAN GENERAL LIFE INSURANCE COMPANY	Health	Active	12/11/2003
	Life	Active	12/11/2003
283
Company Name	Appointment Type	Status	Active Date
BANNER LIFE INSURANCE COMPANY	Life	Active	06/07/2013
275
Company Name	Appointment Type	Status	Active Date
GERBER LIFE INSURANCE COMPANY	Health	Active	09/22/2017
	Life	Active	09/22/2017
279
Company Name	Appointment Type	Status	Active Date
GLOBE LIFE AND ACCIDENT INSURANCE COMPANY	Health	Active	07/21/2021
	Life	Active	07/21/2021
176
Company Name	Appointment Type	Status	Active Date
LUMICO LIFE INSURANCE COMPANY	Life	Active	02/18/2019
431
Company Name	Appointment Type	Status	Active Date
MUTUAL OF OMAHA INSURANCE COMPANY	Health	Active	11/29/2018
817
Company Name	Appointment Type	Status	Active Date
PRUCO LIFE INSURANCE COMPANY	Health	Active	07/20/2006
	Life	Active	07/20/2006
890
Company Name	Appointment Type	Status	Active Date
TRANSAMERICA LIFE INSURANCE COMPANY	Life	Active	09/12/2008
672
Company Name	Appointment Type	Status	Active Date
UNITED OF OMAHA LIFE INSURANCE COMPANY	Health	Active	12/10/2015
	Life	Active	12/10/2015

row(s) 1 - 14 of 14

Organization	Association Type	Type	Beg dte	End dte
COREBRIDGE DIRECT INSURANCE SERVICES, INC.	Designated Resp Lic Prdcr	Agency	09/15/2020	-

1 - 1