DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Insurer Details

NAME	State Mutual Insurance Company
DOI ID	300359
FEIN #	581449898
ALIEN #
State of Domicile	GA
Domicile Country
Merged Into
NAIC #	69132
NAIC Group #
Entity Type	Insurer
Admitted	1/12/1988
AM Best Rating
President	Delos H Yancey IV
Process Agent	Ann P. Rogers Date Assigned : 8/6/2010 (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

Type	Address
Agent Licensing Address	P.O. Box 153 Rome, GA 301620153
Mailing	PO Box 153 Rome, GA 30162
Process Agent	210 E. Second Ave. Suite 301 Rome, GA 30161
Statutory Home Office	1 State Mutual Dr. NW Rome, GA 30161

Type	Number
Annual Statement - Annual Statement	(706) 291-1054 - 296
Annual Statement - Fax	(706) 378-2959
Licensing - Agent Licensing Phone	(706) 291-1054
Business / Home Office	(706) 291-1054

Type	Internet Information
Annual Statement - Business Email	ben.boyd@statemutualinsurance.com
Licensing - Business Email	sbgrange@smrome.com
Process Agent - Business Email	parogers@smrome.com