DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Insurer Details

NAME	Fairfield Insurance Company
DOI ID	301065
FEIN #	061325512
ALIEN #
State of Domicile	CT
Domicile Country
Merged Into	Genesis Insurance Company
NAIC #	44784
NAIC Group #	31
Entity Type	Insurer
Admitted	10/23/1995
AM Best Rating
President	William George Gasdaska, Jr.
Process Agent	CT Corporation System Date Assigned : 2/5/2010 (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.

Type	Address
Agent Licensing Address	General Reinsurance Corporation Danuta Mszal Legal Department 695 East Main Street Stamford, CT 06901
Mailing	120 Long Ridge Road Stamford, CT 06902
Process Agent	306 West Main Street Suite 512 Frankfort, KY 40601
Statutory Home Office	120 Long Ridge Road Stamford, CT 06902

Type	Number
Business / Home Office	(203) 328-5000
Licensing - Agent Licensing Phone	(203) 328-6477

Type	Internet Information
Licensing - Business Email	DMszal@genre.com
Annual Statement - Business Email	chartel@genre.com