DEPARTMENT OF INSURANCE

Affiliations

Name	Becker, Diane Dabill	DOIID	355038	NAIC NPN	4074780

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Administrator	Not Applicable	6/14/1999	2/7/2011
Inactive	Resident	Agent	Health	7/8/1991	4/1/2013
Inactive	Resident	Agent	Life	7/8/1991	4/1/2013
Inactive	Resident	Agent	Health Maintenance Organization	7/1/1998	3/1/2001
* 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	American Fidelity Assurance Company	301004	Agent - Health	2/20/2007	4/2/2008
Inactive	American Fidelity Assurance Company	301004	Agent - Life	2/20/2007	4/2/2008
Inactive	American General Life Insurance Company	301585	Agent - Health	12/31/2012	4/1/2013
Inactive	American General Life Insurance Company	301585	Agent - Life	12/31/2012	4/1/2013
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	10/4/1999	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	10/4/1999	12/31/2012
Inactive	American States Life Insurance Company	301884	Agent - Health	11/1/1998	11/26/2001
Inactive	American States Life Insurance Company	301884	Agent - Life	11/1/1998	11/26/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/2/1993	7/31/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/2/1993	7/31/2012
Inactive	Assurity Life Insurance Company	301099	Agent - Health	11/6/2003	4/7/2005
Inactive	Assurity Life Insurance Company	301099	Agent - Life	11/6/2003	4/7/2005
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	7/7/2009	4/1/2013
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Health	8/10/1992	3/31/1997
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	8/10/1992	3/31/1997
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/1/2010	4/1/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/13/2009	4/1/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	11/13/2009	4/1/2013
Inactive	Companion Life Insurance Company	300191	Agent - Health	8/21/1991	10/18/1999
Inactive	Companion Life Insurance Company	300191	Agent - Life	8/21/1991	10/18/1999
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	12/31/2004	4/1/2013
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	12/31/2004	4/1/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/7/2009	4/1/2013
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	11/7/2005	11/14/2006
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	11/7/2005	11/14/2006
Inactive	Fort Wayne Health & Casualty Insurance Company	301572	Agent - Health	12/15/1998	12/22/2004
Inactive	Fresenius Health Plans Insurance Company	300180	Agent - Health	10/10/1995	3/31/1999
Inactive	Fresenius Health Plans Insurance Company	300180	Agent - Life	10/10/1995	3/31/1999
Inactive	General American Life Insurance Company	300280	Agent - Health	1/25/1995	4/21/1999
Inactive	General American Life Insurance Company	300280	Agent - Life	1/25/1995	4/21/1999
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/6/1999	4/30/2013
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/6/1999	4/30/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/19/2001	4/1/2013
Inactive	Humana Insurance Company	301104	Agent - Health	5/30/1997	4/1/2013
Inactive	Humana Insurance Company	301104	Agent - Life	5/30/1997	4/1/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/26/2007	4/1/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/26/2007	4/1/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/1/2010	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/1/2010	5/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	4/25/2013
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	12/15/1998	3/12/2002
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/15/1998	3/12/2002
Inactive	Lincoln National Reassurance Company	301919	Agent - Health	12/15/1998	1/6/2003
Inactive	Lincoln National Reassurance Company	301919	Agent - Life	12/15/1998	1/6/2003
Inactive	Medical Life Insurance Company	300693	Agent - Health	2/9/1999	12/31/2004
Inactive	Medical Life Insurance Company	300693	Agent - Life	2/9/1999	12/31/2004
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	6/3/1998	11/17/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	6/3/1998	11/17/2008
Inactive	Pacific Life & Annuity Company	300443	Agent - Health	4/15/2002	5/4/2006
Inactive	Pacific Life & Annuity Company	300443	Agent - Life	4/15/2002	5/4/2006
Inactive	Principal Life Insurance Company	300129	Agent - Health	3/13/1995	11/25/2009
Inactive	Principal Life Insurance Company	300129	Agent - Life	3/13/1995	11/25/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/1/2009	4/1/2013
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/1/2009	4/1/2013
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	4/28/2003	3/31/2009
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	4/28/2003	3/31/2009
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	4/22/2002	1/11/2010
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	10/24/2006	10/23/2008
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	10/24/2006	11/13/2007
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	10/9/2001	7/7/2004
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	10/9/2001	7/7/2004
Inactive	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Health	7/19/1993	2/16/2006
Inactive	Swiss Re Life & Health America, Inc.	300722	Agent - Health	1/6/2003	12/22/2004
Inactive	Swiss Re Life & Health America, Inc.	300722	Agent - Life	1/6/2003	12/22/2004
Inactive	Symetra Life Insurance Company	301691	Agent - Health	12/29/1994	12/16/2005
Inactive	Symetra Life Insurance Company	301691	Agent - Life	12/29/1994	12/16/2005
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	7/13/2000	4/30/2013
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	7/13/2000	4/30/2013
Inactive	Time Insurance Company	300683	Agent - Health	8/5/2003	1/27/2005
Inactive	Time Insurance Company	300683	Agent - Life	8/5/2003	1/27/2005
Inactive	Trustmark Insurance Company	300317	Agent - Health	11/30/2001	5/29/2012
Inactive	Trustmark Insurance Company	300317	Agent - Life	11/30/2001	5/29/2012
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	12/1/2009	4/1/2013
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	12/1/2009	4/1/2013
Inactive	Union Central Life Insurance Company	300307	Agent - Health	7/23/1993	1/22/2007
Inactive	Union Central Life Insurance Company	300307	Agent - Life	7/23/1993	1/22/2007
Inactive	United Concordia Dental Plans of Kentucky Inc.	301923	Agent - Health	6/12/2001	4/1/2013
Inactive	United Concordia Life and Health Insurance Company	301220	Agent - Health	6/12/2001	4/1/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/16/1998	12/14/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/16/1998	12/14/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/1/2001	12/14/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	7/1/1998	3/1/2001
Inactive	West Coast Life Insurance Company	301607	Agent - Health	2/4/2003	12/28/2005
Inactive	West Coast Life Insurance Company	301607	Agent - Life	2/4/2003	12/28/2005
Inactive		300277	Agent - Life	7/23/2003	12/14/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Benefit Ins Marketing Inc	398449	Agent - Life	9/16/2004	4/1/2013
Inactive	Benefit Ins Marketing Inc	398449	Agent - Health	9/16/2004	4/1/2013
Inactive	Cumberland Valley Insurance Mgmt Inc.	401247	Agent - Life	7/8/1991	7/5/2012
Inactive	Cumberland Valley Insurance Mgmt Inc.	401247	Agent - Health	7/8/1991	7/5/2012
Inactive	Cumberland Valley Insurance Mgmt Inc.	401247	Administrator - Not Applicable	6/14/1999	2/7/2011
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	5/7/2002	4/1/2013
Inactive	Health Directions, Inc.	398591	Agent - Life	9/12/2008	3/31/2012
Inactive	Health Directions, Inc.	398591	Agent - Health	9/12/2008	3/31/2012
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997