DEPARTMENT OF INSURANCE
Insurer Details
NAMEPennsylvania Life Insurance Company
DOI ID301321
FEIN #231305366
ALIEN #
State of DomicilePA
Domicile Country
Merged IntoNassau Life Insurance Company of Texas
NAIC #67660
NAIC Group #1
Entity TypeInsurer
Admitted7/7/1950
AM Best Rating
PresidentTodd Dean Meek
Process AgentCT Corporation System
Date Assigned : 11/3/2014
(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.
TypeAddress
Agent Licensing Address9501 E. Shea Boulevard, MC125 Scottsdale, AZ 85260
Annual StatementOne CVS Drive Woonsocket, RI 02895
Catastrophe/Disaster Coordinator Address2211 Sanders Road, NBT 9 Northbrook, IL 60062
Claim Information Contact Address1001 Heathrow Park Lane Suite 5001 Lake Mary, FL 32746
Company Licenses/Fee Contact Address2211 Sander Road Northbrook, IL 60062
Consumer Complaint1064 Greenwood Blvd. Suite 260 Lake Mary, FL 32746
Continuing Education Provider 4004 Briar Ridge Road LaGrange, KY 400319636
Deposits Contact Address2211 Sanders Road Northbrook, IL 60062
Mailing2211 Sanders Road, NBT 9 Northbrook, IL 60062
Policyholder Information Contact Address1001 Heathrow Park Lane Suite 5001 Lake Mary, FL 32746
Premium Tax AddressOne CVS Drive Woonsocket, RI 02895
Process Agent306 W. Main Street Suite 512 Frankfort, KY 40601
Regulatory Compliance/Gvmt Relations Contact Address2211 Sanders Road Northbrook, IL 60062
Statutory Home Office27 North Front Street Harrisburg, PA 171011606
TypeNumber
Business / Home Office(440) 248-8448
Consumer Complaint - Business / Home Office(407) 547-3357
Policyholder Information Contact - Fax(407) 995-8018
Catastrophe/Disaster Coordination Contact - Fax(847) 559-4879
Catastrophe/Disaster Coordination Contact - Fax(847) 559-4879
Claim Information Contact - Fax(407) 995-8018
Catastrophe/Disaster Coordination Contact - Other(847) 559-4765
Regulatory Compliance/Gvmt Relations Contact - Other(847) 559-3992
Company Licenses/Fees Contact - Other(847) 559-3992
Deposits Contact - Other(847) 559-3992
Claim Information Contact - Other(407) 444-4470
Policyholder Information Contact - Other(407) 444-4470
CE/PL Provider(502) 241-8619
Licensing - Agent Licensing Phone(480) 661-3791
Annual Statement - Annual Statement(401) 770-7699
Premium Tax Contact - Premium Tax (401) 770-6694
TypeInternet Information
Licensing - Business Emailrosalie.arabs-ganez@caremark.com
Business EmailShirley@ProfessionalTrainingAssociates.com
Catastrophe/Disaster Coordination Contact - Business EmailSarah.Doyle@caremark.com
Regulatory Compliance/Gvmt Relations Contact - Business Emailcaitlyn.bouton@caremark.com
Company Licenses/Fees Contact - Business Emailcaitlyn.bouton@caremark.com
Deposits Contact - Business Emailcaitlyn.bouton@caremark.com
Premium Tax Contact - Business EmailAJAbbate@cvs.com
Claim Information Contact - Business EmailBJacobs@universalamerican.com
Consumer Complaint - Business Emailjmackin@nsre.com
Policyholder Information Contact - Business EmailBJacobs@universalamerican.com

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