DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Becerra, Carmen Edith	DOIID	1054242	NAIC NPN	17755286

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/4/2023		11/30/2024
Active	Non Resident	Agent	Health	10/4/2023		11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	11/30/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/24/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	11/19/2019	11/30/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/24/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	10/24/2023
Inactive	American Continental Insurance Company	643130	Agent - Life	11/19/2019	8/11/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/19/2019	11/30/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	10/16/2023
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	10/16/2023
Active	SilverScript Insurance Company	663526	Agent - Health	10/24/2023
Active	Starmount Life Insurance Company	628031	Agent - Health	10/16/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Health	10/16/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Life	10/16/2023
Active	Unum Insurance Company	301499	Agent - Health	10/16/2023
Active	Unum Insurance Company	301499	Agent - Life	10/16/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Optavise, LLC	671337	Agent - Life	10/16/2019	11/30/2022
Inactive	Optavise, LLC	671337	Agent - Health	10/16/2019	11/30/2022