DEPARTMENT OF INSURANCE

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	Life	3/31/2020		12/31/2024
Active	Non Resident	Agent	Health	3/31/2020		12/31/2024
* 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	10/15/2024	12/31/2024

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