DEPARTMENT OF INSURANCE
Insurer Details
NAMEHeritage Life Insurance Company
DOI ID300081
FEIN #860165716
ALIEN #
State of DomicileAZ
Domicile Country
Merged Into
NAIC #64394
NAIC Group #4903
Entity TypeInsurer
Admitted10/17/1985
AM Best Rating
PresidentRobert Michael DeFeo
Process AgentLynn E. Laswell
Date Assigned : 2/26/2016
(See address table below for process agent address)

Authorized Insurer – these insurers are authorized to do the business of insurance by holding a Kentucky Certificate of Authority. Provides insurance coverage.
Line(s) of Authority
Life
Annuity
Health
Aka Names
AKA - Doing Business As: Bluegrass Life Insurance Company
TypeAddress
Agent Licensing Address227 West Monroe Street Suite 3775 Chicago, IL 60606
Annual Statement227 West Monroe Street Suite 3775 Chicago, IL 60606
Catastrophe/Disaster Coordinator Address227 West Monroe Street Suite 3775 Chicago, IL 60606
Claim Information Contact Address277 West Monroe Street Suite 3775 Chicago, IL 60606
Company Licenses/Fee Contact Address227 West Monroe Street Suite 3775 Chicago, IL 60606
Consumer Complaint277 West Monroe Street Suite 3775 Chicago, IL 60606
Deposits Contact Address227 West Monroe Street Suite 3775 Chicago, IL 60606
Local Domestic/Foreign State Contact Address227 West Monroe Street Suite 3775 Chicago, IL 60606
Mailing227 West Monroe Street Suite 3775 Chicago, IL 60606
Managing General Agent401 Pennsylvania Parkway Suite 300 Indianapolis, IN 46280
Policyholder Information Contact Address227 West Monroe Street Suite 3775 Chicago, IL 60606
Premium Tax Address227 West Monroe Street Suite 3775 Chicago, IL 60606
Process Agent277 West Monroe Street Suite 3775 Chicago, IL 60606
Regulatory Compliance/Gvmt Relations Contact Address227 West Monroe Street Suite 3775 Chicago, IL 60606
Statutory Home Office8601 N. Scottsdale Road, Suite 300 Scottsdale, AZ 85253
U.S. Legal Counsel for Aliens227 West Monroe Street Suite 3775 Chicago, IL 60606
TypeNumber
Policyholder Information Contact - Business / Home Office(312) 977-0904
Catastrophe/Disaster Coordination Contact - Business / Home Office(312) 977-0904
Regulatory Compliance/Gvmt Relations Contact - Business / Home Office(312) 977-0904
Company Licenses/Fees Contact - Business / Home Office(312) 977-0904
Deposits Contact - Business / Home Office(312) 977-0904
Local Office in Domestic/Foreign State Contact - Business / Home Office(317) 977-0904
U.S. Legal Counsel for aliens - Business / Home Office(312) 977-0904
Business / Home Office(312) 977-0904
Claim Information Contact - Business / Home Office(312) 977-0904
Consumer Complaint - Business / Home Office(312) 977-0904
Annual Statement - Fax(312) 610-5630
Catastrophe/Disaster Coordination Contact - Fax(312) 610-5630
Claim Information Contact - Fax(317) 818-7806
Licensing - Fax(312) 610-5630
Consumer Complaint - Fax(317) 818-7806
Policyholder Information Contact - Fax(312) 610-5630
Regulatory Compliance/Gvmt Relations Contact - Fax(312) 610-5630
Local Office in Domestic/Foreign State Contact - Fax(312) 610-5630
Managing General Agent - Fax(313) 574-6272
Premium Tax Contact - Fax(312) 610-5630
Company Licenses/Fees Contact - Fax(312) 610-5630
Deposits Contact - Fax(312) 610-5630
U.S. Legal Counsel for aliens - Fax(312) 610-5630
Managing General Agent - Other(317) 574-6234
Licensing - Agent Licensing Phone(311) 297-7090
Annual Statement - Annual Statement(312) 977-0904
Premium Tax Contact - Premium Tax (312) 977-0904
TypeInternet Information
Annual Statement - Business Emaillynn.laswell@heritageli.com
Catastrophe/Disaster Coordination Contact - Business Emaillynn.laswell@heritageli.com
Claim Information Contact - Business Emaillynn.laswell@heritageli.com
Policyholder Information Contact - Business Emaillynn.laswell@heritageli.com
Consumer Complaint - Business Emaillynn.laswell@heritageli.com
Licensing - Business Emaillynn.laswell@heritageli.com
Regulatory Compliance/Gvmt Relations Contact - Business Emaillynn.laswell@heritageli.com
Company Licenses/Fees Contact - Business Emaillynn.laswell@heritageli.com
Deposits Contact - Business Emaillynn.laswell@heritageli.com
Local Office in Domestic/Foreign State Contact - Business Emaillynn.laswell@heritageli.com
Managing General Agent - Business EmailRebecca.rissans@guggenheimpartners.com
Premium Tax Contact - Business Emaillynn.laswell@heritageli.com
U.S. Legal Counsel for aliens - Business Emaillynn.laswell@heritgaeli.com

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