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 #901
Entity TypeInsurer
Admitted5/6/1985
AM Best Rating
PresidentRyan David Kocher
Process AgentArthur Hastings
Date Assigned : 11/28/2007
(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 Statement11200 Lakeline Blvd Ste 100 Austin, TX 787175964
Consumer ComplaintP.O. Box 188016 Chattanooga, TN 37422
Mailing11501 Alterra Parkway Suite 500 Chandler, TX 75758
Process Agent5508 Parkcrest Drive Austin, TX 78731
Statutory Home Office1300 East Ninth Street Cleveland, OH 44114
TypeNumber
Business / Home Office(512) 451-2224
Consumer Complaint - Business / Home Office(570) 496-5176
Medicare Marketing(877) 291-5434
Annual Statement - Annual Statement(512) 807-4801
Premium Tax Contact - Premium Tax (860) 226-8502
TypeInternet Information
Annual Statement - Business EmailCSBFinrpt@cigna.com
Premium Tax Contact - Business Emailpremiumtax@cigna.com
Consumer Complaint - Business Emailchccustomeradvocacy@cigna.com

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