DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Becker, Marie E	DOIID	1079900	NAIC NPN	1569423

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/31/2020		12/31/2026
Active	Non Resident	Agent	Life	3/31/2020		12/31/2026
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/30/2020
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/30/2020
Active	Nationwide Life Insurance Company	300495	Agent - Health	3/30/2023
Active	Tier One Insurance Company	301056	Agent - Health	4/8/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	IRC, Inc	547006	Agent - Health	6/12/2023
Active	NFP Corporate Services (PA), Inc.	518934	Agent - Life	7/30/2020
Active	NFP Corporate Services (PA), Inc.	518934	Agent - Health	7/30/2020