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
Annual Statement10751 Deerwood Park Blvd. Suite 200 Jacksonville, FL 32256
Claim Information Contact Address10751 Deerwood Park Blvd. Ste. 200 Jacksonville, FL 32256
Consumer Complaint10751 Deerwood Park Blvd. Ste. 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
Claim Information Contact - Business / Home Office(904) 593-7224
Consumer Complaint - Business / Home Office(904) 357-2148
Annual Statement - Fax(904) 350-1069
Consumer Complaint - Other(800) 888-2738
Claim Information Contact - Other(800) 888-2738
Annual Statement - Annual Statement(800) 888-2756 - 8167
TypeInternet Information
Consumer Complaint - Business EmailConsumerComplaints@fortegra.com
Claim Information Contact - Business Emailkmoraski@fortegra.com

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