DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wallen, Becky	DOIID	905151	NAIC NPN	17838789

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	6/7/2016		1/31/2026
Active	Resident	Agent	Property	6/14/2023		1/31/2026
Active	Resident	Agent	Casualty	6/14/2023		1/31/2026
Active	Resident	Agent	Life	2/19/2016		1/31/2026
* 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 Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/19/2016	9/7/2018
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	5/3/2018
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	5/3/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Black Diamond Insurance Group, LLC	862146	Agent - Life	9/27/2018
Active	Black Diamond Insurance Group, LLC	862146	Agent - Health	9/27/2018
Pending	Black Diamond Insurance Group, LLC	862146	Agent - Property
Pending	Black Diamond Insurance Group, LLC	862146	Agent - Casualty