DEPARTMENT OF INSURANCE

Affiliations

Name	Becker, Thomas L	DOIID	337052	NAIC NPN	1926458

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	6/4/1998	7/1/2004
Inactive	Resident	Agent	Life	5/4/2000	7/1/2004
* 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
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/15/2000	7/1/2004
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	11/15/2000	7/1/2004
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	7/13/2000	12/31/2001
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	7/13/2000	12/31/2001
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	7/6/2000	7/1/2004
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/14/2000	7/1/2004
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/1/2003	7/1/2004
Inactive	Humana Insurance Company	301104	Agent - Health	10/1/2003	7/1/2004
Inactive	Humana Insurance Company	301104	Agent - Life	10/1/2003	7/1/2004
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	12/31/2001	7/29/2003
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	12/31/2001	7/29/2003
Inactive	Prudential Insurance Company of America	300784	Agent - Health	6/4/1998	12/1/1999
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	8/14/2000	7/1/2004
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	8/14/2000	7/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Health	11/26/2001	7/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	5/4/2000	7/1/2004
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	7/3/2000	7/1/2004
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	7/3/2000	7/1/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/26/2001	7/1/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	11/26/2001	7/1/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	12/27/2000	7/1/2004
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	12/27/2000	7/1/2004