PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Insurer Details
NAMEMountain Life Insurance Company
DOI ID301001
FEIN #621094522
ALIEN #
State of DomicileTN
Domicile Country
Merged Into
NAIC #80020
NAIC Group #5083
Entity TypeInsurer
Admitted6/30/1995
AM Best Rating
PresidentJeff Breeze
Process AgentCT Corporation System
Date Assigned : 2/14/2018
(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 Statement2416 Sir Barton Way Lexington, KY 40509
Claim Information Contact Address2416 Sir Barton Way Suite 110 Lexington, KY 40509
Consumer Complaint2416 Sir Barton Way Suite 110 Lexington, KY 40509
Mailing2416 Sir Barton Way Lexington, KY 40509
Managing General Agent2416 Sir Barton Way Suite 110 Lexington, KY 40509
Managing General Agent2416 Sir Barton Way Lexington, KY 40509
Policyholder Information Contact Address2416 Sir Barton Way Suite 110 Lexington, KY 40509
Process Agent306 West Main Street Suite 512 Frankfort, KY 40601
Statutory Home Office2416 Sir Barton Way Lexington, KY 40509
U.S. Legal Counsel for Aliens2416 Sir Barton Way Lexington, KY 40509
TypeNumber
Business / Home Office(800) 888-6542
Consumer Complaint - Business / Home Office(859) 367-5233
Claim Information Contact - Business / Home Office(859) 367-5232
Local Office in Domestic/Foreign State Contact - Business / Home Office(859) 367-5233
Managing General Agent - Business / Home Office(859) 367-5233
Policyholder Information Contact - Business / Home Office(859) 367-5233
U.S. Legal Counsel for aliens - Business / Home Office(859) 367-5233
Managing General Agent - Fax(859) 335-0307
Managing General Agent - Fax(859) 335-0307
U.S. Legal Counsel for aliens - Fax(859) 335-0307
Catastrophe/Disaster Coordination Contact - Fax(859) 335-0307
Consumer Complaint - Other(859) 367-5233
Policyholder Information Contact - Other(859) 367-5233
Annual Statement - Annual Statement(859) 367-5243
TypeInternet Information
Annual Statement - Business Emailjserber@mountainlife.com
Claim Information Contact - Business Emailclhonaker@kyhomelife.com
Consumer Complaint - Business Emailjebreeze@kyhomelife.com
Local Office in Domestic/Foreign State Contact - Business Emailjebreeze@kyhomelife.com
Managing General Agent - Business Emailjebreeze@kyhomelife.com
Policyholder Information Contact - Business Emailjebreeze@kyhomelife.com
U.S. Legal Counsel for aliens - Business Emailjebreeze@kyhomelife.com

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