DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Worm, Thasha Chantelle	DOIID	1288977	NAIC NPN	17642322

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/1/2023		7/31/2026
Active	Non Resident	Agent	Life	8/1/2023		7/31/2026
* 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
Active	AAA Life Insurance Company	300287	Agent - Health	8/9/2023
Active	AAA Life Insurance Company	300287	Agent - Life	8/9/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aaa Life Agency LLC	1063780	Agent - Life	11/16/2023
Active	Aaa Life Agency LLC	1063780	Agent - Health	11/16/2023