DEPARTMENT OF INSURANCE
Insurer Details
NAMESouthern Financial Life Insurance Company
DOI ID300664
FEIN #611316749
ALIEN #
State of DomicileKY
Domicile Country
Merged Into
NAIC #60242
NAIC Group #4718
Entity TypeInsurer
Admitted8/18/1998
AM Best Rating
PresidentRichard Stephen Kahlbaugh
Process AgentCorporate Creations Network, Inc.
Date Assigned : 12/11/2017
(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 Address10151 Deerwood Park Blvd. BLDG 100, STE 500 Jacksonville, FL 32256
Annual Statement10751 Deerwood Park Blvd. Suite 200 Jacksonville, FL 32256
Mailing10751 Deerwood Park Blvd. Suite 200 Jacksonville, FL 32256
Process Agent101 North Seventh Street Louisville, KY 40202
Statutory Home Office105 Public Square Scottsville, KY 42164
TypeNumber
Business / Home Office(904) 407-1097
Annual Statement - Fax(904) 350-1069
Licensing - Fax(904) 350-1069
Licensing - Agent Licensing Phone(800) 888-2738 - 7267
Annual Statement - Annual Statement(800) 888-2756 - 8167
Premium Tax Contact - Premium Tax (800) 888-2738 - 8167
TypeInternet Information
Annual Statement - Business EmailFCAnnualStatement@fortegra.com
Licensing - Business Emaillrackley@life-south.com
Premium Tax Contact - Business Emaildackermann@fortegra.com

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