DEPARTMENT OF INSURANCE

Name	CBCA Administrators, Inc.	DOIID	395298	NAIC NPN	2014539

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Administrator	Not Applicable	5/28/1987	5/1/2008

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	4150 International Plaza Suite 550Fort Worth, TX 761094899
Mailing	4150 International Plaza Suite 550 P.O. Box 1326Fort Worth, TX 76101

Internet Information

Type	Address
Business Email	judy_kelley@usi-administrators.com

Phone Information

Type	Phone
Business / Home Office	(817) 737-1753
Business / Home Office	(800) 423-1282 Ext-1753