DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Insurer Details

NAME	Ozark National Life Insurance Company
DOI ID	301199
FEIN #	430812448
ALIEN #
State of Domicile	MO
Domicile Country
Merged Into
NAIC #	67393
NAIC Group #	4941
Entity Type	Insurer
Admitted	8/30/1988
AM Best Rating
President	J Brent Burkholder
Process Agent	David Melton Date Assigned : 2/23/1999 (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

Type	Address
Annual Statement	P O BOX 15688 KANSAS CITY, MO 641060688
Mailing	P.O. Box 219541 Kansas City, MO 641219541
Process Agent	500 East 9th Street Kansas City, MO 64106
Statutory Home Office	500 East 9th Street Kansas City, MO 641062627

Type	Number
Business / Home Office	(816) 842-6300
Annual Statement - Fax	(816) 842-0466
Annual Statement - Annual Statement	(816) 842-6300

Type	Internet Information
Annual Statement - Business Email	jill.thompson@ozark-national.com