DEPARTMENT OF INSURANCE
Insurer Details
NAMEIntegon Indemnity Corporation
DOI ID300674
FEIN #560473714
ALIEN #
State of DomicileNC
Domicile Country
Merged Into
NAIC #22772
NAIC Group #4928
Entity TypeInsurer
Admitted9/21/1950
AM Best Rating
PresidentPeter Rendall
Process AgentSally Hall
Date Assigned : 10/9/2014
(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
Property
Surety
Casualty
Vehicle Insurance
Liability Insurance
Workers' Compensation & Employer's Liability
Burglary & Theft
Personal Property Floater
Glass
Boiler & Machinery
Leakage & Fire Extinguishing Equipment
Credit
Malpractice
Elevator
Congenital Defects
Livestock
Entertainments
Failure of Certain Institutions to Record Documents
Automobile Guaranty
Miscellaneous
TypeAddress
Agent Licensing Address5630 University Parkway Winston Salem, NC 27105
Annual Statement5630 University Parkway Winston Salem, NC 27105
Claim Information Contact Address5630 University Parkway Attn: Shane Mitchener Winston Salem, NC 27105
Consumer Complaint13736 Riverport Drive Suite 700 Maryland Heights, MO 63043
Consumer Complaint5630 University Parkway Attn: Shane Mitchener Winston Salem, NC 27105
Deposits Contact Address5630 University Parkway Winston Salem, NC 27105
MailingP.O. Box 3199 Winston Salem, NC 271023199
P & C Form and Rate Filing5630 University Parkway Mail Code 4A06 Winston Salem, NC 27105
Policyholder Information Contact Address5630 University Parkway Attn: Shane Mitchener Winston Salem, NC 27105
Premium Tax Address5630 University Parkway Winston Salem, NC 27105
Process Agent5630 University Parkway Mail Code 1A04 Winston Salem, NC 27105
Regulatory Compliance/Gvmt Relations Contact Address5630 University Parkway Mail Code 4A06 Winston Salem, NC 27105
Statutory Home Office450 W. Hanes Mill Road Suite 101 Winston Salem, NC 27105
TypeNumber
Business / Home Office(336) 435-2000
Consumer Complaint - Business / Home Office(314) 493-7987
Deposits Contact - Business / Home Office(212) 430-0005
Policyholder Information Contact - Business / Home Office(314) 493-7987
Claim Information Contact - Business / Home Office(314) 493-7987
Annual Statement - Fax(336) 435-0236
Consumer Complaint - Fax(336) 435-0085
Company Licenses/Fees Contact - Fax(336) 435-2022
P & C Form and Rate Filing - Fax(336) 435-8105
Policyholder Information Contact - Fax(336) 435-0085
Licensing - Fax(336) 435-0426
Regulatory Compliance/Gvmt Relations Contact - Fax(336) 435-8105
Claim Information Contact - Fax(336) 435-0085
Company Licenses/Fees Contact - Other(336) 435-3746
P & C Form and Rate Filing - Other(336) 435-2612
Regulatory Compliance/Gvmt Relations Contact - Other(336) 435-2612
Licensing - Agent Licensing Phone(336) 435-2499
Annual Statement - Annual Statement(336) 435-2560
Premium Tax Contact - Premium Tax (216) 357-7510
TypeInternet Information
Annual Statement - Business EmailAnnualStatementContact@ngic.com
P & C Form and Rate Filing - Business EmailRobin.Coe@NGIC.com
Company Licenses/Fees Contact - Business EmailJulie.Wilder@NGIC.com
Consumer Complaint - Business EmailDOI.Complaints@NGIC.com
Deposits Contact - Business Emailannualstatementcontact@ngic.com
Claim Information Contact - Business EmailShane.Mitchener@NGIC.com
Policyholder Information Contact - Business EmailShane.Mitchener@NGIC.com
Premium Tax Contact - Business Emailtaxdepartment@ngic.com
Licensing - Business EmailAleta.Stephens@NGIC.com
Regulatory Compliance/Gvmt Relations Contact - Business EmailRobin.Coe@NGIC.com

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