DEPARTMENT OF INSURANCE
Insurer Details
NAMEProvident American Life & Health Insurance Company
DOI ID300413
FEIN #231335885
ALIEN #
State of DomicileOH
Domicile Country
Merged Into
NAIC #67903
NAIC Group #917
Entity TypeInsurer
Admitted5/6/1985
AM Best Rating
PresidentStephen Harris
Process AgentCT Corporation System
Date Assigned : 6/3/2025
(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
TypeAddress
Annual Statement1001 E Lookout Drive Richardson, TX 75082
Annual Statement1400 S Boston Tulsa, OK 74119
Annual Statement300 East Randolph Street Chicago, IL 60601
Annual Statement300 E Randolph Street Chicago, IL 60601
Consumer Complaint1400 S Boston Tulsa, OK 74119
Mailing300 East Randolph Street Chicago, IL 60601
Process Agent306 West Main Street Suite 512 Frankfort, KY 40601
Statutory Home Office4400 Easton Commons Way Suite 125 Columbus, OH 43219
TypeNumber
Claim Information Contact - Business / Home Office(918) 551-2337
Local Office in Domestic/Foreign State Contact - Business / Home Office(312) 653-5313
Policyholder Information Contact - Business / Home Office(312) 953-3052
Business / Home Office(312) 653-6000
Consumer Complaint - Business / Home Office(918) 551-2337
Medicare Marketing(877) 291-5434
Annual Statement - Annual Statement(512) 531-1402
TypeInternet Information
Annual Statement - Business Emailcsbfinrpt@hcsc.com
Consumer Complaint - Business EmailRegulatoryInquiry@hcsc.net
Claim Information Contact - Business EmailRegulatoryInquiry@hcsc.net
Local Office in Domestic/Foreign State Contact - Business Emailmatt_g_thunander@bcbsil.com
Policyholder Information Contact - Business Emailcappj@bcbsil.com

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