DEPARTMENT OF INSURANCE

Affiliations

Name	T.B.A. of Kentucky Inc.	DOIID	398670	NAIC NPN	7221099

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Worrell, Terry Kenton	363685	Agent - General Lines	10/27/1992	1/13/1996