DEPARTMENT OF INSURANCE

Name	American Fidelity Assurance Company (TPA)	DOIID	575381	NAIC NPN	6598

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Administrator	Not Applicable	8/25/2003		3/31/2025

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

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	01/15/2025	03/31/2025

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

Address Information

Type	Address
Mailing	PO Box 25523 Oklahoma City, OK 73125
Business / Home Office	9000 Cameron Pkwy 11th FloorOklahoma City, OK 73114

Internet Information

Type	Address
Internet	www.americanfidelity.com
Business Email	lucy.fritts@americanfidelity.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(405) 523-5030