DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Becker, Thomas	DOIID	558554	NAIC NPN	7362919

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	5/11/2017		4/30/2026
Active	Non Resident	Agent	Casualty	5/11/2017		4/30/2026
* 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
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	6/17/2003	4/30/2016
Inactive	American Family Home Insurance Company	301817	Agent - Property	6/17/2003	4/30/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	6/17/2003	11/15/2006
Inactive	American Modern Home Insurance Company	300791	Agent - Property	6/17/2003	11/15/2006
Inactive	Beazley Insurance Company, Inc.	300899	Agent - Casualty	1/13/2003	6/17/2005
Inactive	Beazley Insurance Company, Inc.	300899	Agent - Property	1/13/2003	6/17/2005
Inactive	Rural Community Insurance Company	301891	Agent - Casualty	4/20/2009	10/23/2014
Inactive	Rural Community Insurance Company	301891	Agent - Property	4/20/2009	10/23/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Safehold Special Risk, Inc	658217	Agent - Casualty	5/12/2008	4/15/2014
Inactive	Safehold Special Risk, Inc	658217	Agent - Property	5/12/2008	4/15/2014