DEPARTMENT OF INSURANCE

Affiliations

Name	Becker, Mary M	DOIID	361575	NAIC NPN	7196546

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	1/11/1988	12/1/2000
Inactive	Resident	Agent	Life	9/1/1987	12/1/2000
* 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	All American Life Insurance Company	300702	Agent - Health	11/21/1994	10/6/1999
Inactive	All American Life Insurance Company	300702	Agent - Life	11/21/1994	10/6/1999
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	7/18/1989	12/1/2000
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/18/1989	11/27/1999
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	7/30/1992	3/31/1997
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	7/30/1992	3/31/1997
Inactive	Ameritas Variable Life Insurance Company	300665	Agent - Health	1/10/1994	11/27/1999
Inactive	Ameritas Variable Life Insurance Company	300665	Agent - Life	1/10/1994	11/27/1999
Inactive	Integrity Life Insurance Company	301687	Agent - Life	1/26/1994	12/1/2000
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/26/1991	12/1/2000
Inactive	Nassau Life Insurance Company	301406	Agent - Life	10/11/1989	11/27/1999
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	1/11/1988	12/1/2000
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	1/11/1988	11/27/1999
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	4/1/1996	10/12/1999
Inactive	PHL Variable Insurance Company	300525	Agent - Health	2/17/1995	3/31/1997
Inactive	PHL Variable Insurance Company	300525	Agent - Life	2/17/1995	3/31/1997
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	5/19/1994	12/1/2000
Inactive	Security Benefit Life Insurance Company	300583	Agent - Health	3/21/1996	11/27/1999
Inactive	Security Benefit Life Insurance Company	300583	Agent - Life	3/21/1996	11/27/1999
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	11/22/1996	12/1/2000
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	11/22/1996	12/1/2000
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	1/20/1989	11/27/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mutual Service Corporation	400249	Agent - Life	9/1/1987	11/27/1999