DEPARTMENT OF INSURANCE
Insurer Details
NAMEIndividual Assurance Company Life Health & Accident
DOI ID300580
FEIN #431014771
ALIEN #
State of DomicileOK
Domicile Country
Merged Into
NAIC #81779
NAIC Group #2858
Entity TypeInsurer
Admitted2/19/1987
AM Best Rating
PresidentDavid Wesley Brooks
Process AgentCT Corporation System
Date Assigned : 12/18/2020
(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
Agent Licensing Address1600 Oak Street Kansas City, MO 64108
Agent Licensing AddressP.O. Box 30685 Edmond, OK 73003
Annual StatementP.O. Box 30685 Edmond, OK 73003
Catastrophe/Disaster Coordinator AddressP.O. Box 30685 Edmond, OK 73003
Claim Information Contact AddressP.O. Box 30685 Edmond, OK 73003
Company Licenses/Fee Contact AddressP.O. Box 30685 Edmond, OK 73003
Consumer ComplaintP.O. Box 30685 Edmond, OK 73003
Deposits Contact AddressP.O. Box 30685 Edmond, OK 73003
Local Domestic/Foreign State Contact AddressP.O. Box 30685 Edmond, OK 73003
MailingP.O. Box 14998 Oklahoma City, OK 731180998
Managing General AgentP.O. Box 30685 Edmond, OK 73003
Policyholder Information Contact AddressP.O. Box 30685 Edmond, OK 73003
Premium Tax AddressP.O. Box 30685 Edmond, OK 73003
Process Agent306 West Main Street Suite 512 Frankfort, KY 40601
Regulatory Compliance/Gvmt Relations Contact AddressP.O. Box 30685 Edmond, OK 73003
Statutory Home Office5500 N. Western Avenue Suite 200 Oklahoma City, OK 73118
U.S. Legal Counsel for AliensP.O. Box 30685 Edmond, OK 73003
TypeNumber
Claim Information Contact - Business / Home Office(405) 285-0838 - 103
Policyholder Information Contact - Business / Home Office(405) 285-0838 - 113
Deposits Contact - Business / Home Office(405) 285-0838 - 101
Company Licenses/Fees Contact - Business / Home Office(405) 285-0838 - 611
Consumer Complaint - Business / Home Office(405) 285-0838 - 611
Regulatory Compliance/Gvmt Relations Contact - Business / Home Office(405) 285-0838 - 611
Catastrophe/Disaster Coordination Contact - Business / Home Office(405) 285-0838 - 101
Local Office in Domestic/Foreign State Contact - Business / Home Office(405) 285-0838 - 101
Managing General Agent - Business / Home Office(405) 285-0838 - 101
U.S. Legal Counsel for aliens - Business / Home Office(405) 285-0838 - 611
Business / Home Office(405) 285-0838
Regulatory Compliance/Gvmt Relations Contact - Fax(405) 285-0836
Consumer Complaint - Fax(405) 285-0836
Company Licenses/Fees Contact - Fax(405) 285-0836
U.S. Legal Counsel for aliens - Fax(405) 285-0836
Catastrophe/Disaster Coordination Contact - Fax(405) 285-0836
Local Office in Domestic/Foreign State Contact - Fax(405) 285-0836
Managing General Agent - Fax(405) 285-0836
Deposits Contact - Fax(405) 285-0836
Annual Statement - Fax(405) 285-0836
Policyholder Information Contact - Fax(405) 285-0836
Claim Information Contact - Fax(405) 285-0836
Premium Tax Contact - Fax(405) 285-0836
Licensing - Agent Licensing Phone(405) 285-0838 - 113
Annual Statement - Annual Statement(405) 242-5102
Licensing - Annual Statement(405) 285-0836
Premium Tax Contact - Premium Tax (405) 285-0838 - 106
TypeInternet Information
Annual Statement - Business Emailllovett@lifeshieldnational.com
Licensing - Business Emaillicensing@iaclife.com
Catastrophe/Disaster Coordination Contact - Business Emailbgibson@iaclife.com
Policyholder Information Contact - Business Emailpolicyownerservice@iaclife.com
Deposits Contact - Business Emailbgibson@iaclife.com
Company Licenses/Fees Contact - Business Emailcompliance@iaclife.com
Premium Tax Contact - Business Emaileparsons@iaclife.com
Claim Information Contact - Business Emailclaims@iaclife.com
Consumer Complaint - Business Emailcompliance@iaclife.com
Regulatory Compliance/Gvmt Relations Contact - Business Emailcompliance@iaclife.com
Local Office in Domestic/Foreign State Contact - Business Emailbgibson@iaclife.com
Managing General Agent - Business Emailbgibson@iaclife.com
U.S. Legal Counsel for aliens - Business Emailcompliance@iaclife.com

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