DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Insurer Details

NAME	Capitol Life Insurance Company
DOI ID	301514
FEIN #	840162240
ALIEN #
State of Domicile	TX
Domicile Country
Merged Into
NAIC #	61581
NAIC Group #	3436
Entity Type	Insurer
Admitted	2/9/1959
AM Best Rating
President	Edward Harrison Martin
Process Agent	National Registered Agents, Inc Date Assigned : 8/6/2020 (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
Agent Licensing Address	PO Box 1200 Denver, CO 802011200
Agent Licensing Address	1605 LBJ FWY Suite 700 Dallas, TX 75234
Annual Statement	1605 LBJ Freeway Suite 700 Dallas, TX 75234
Catastrophe/Disaster Coordinator Address	1605 LBJ Freeway Suite 700 Dallas, TX 75234
Claim Information Contact Address	1605 LBJ Freeway Suite 700 Dallas, TX 75234
Company Licenses/Fee Contact Address	1605 LBJ Freeway Suite 700 Dallas, TX 75234
Consumer Complaint	1605 LBJ FWY Suite 700 Dallas, TX 75234
Deposits Contact Address	1605 LBJ Freeway Suite 700 Dallas, TX 75234
Local Domestic/Foreign State Contact Address	1605 LBJ Freeway Suite 700 Dallas, TX 75234
Mailing	1605 LBJ Freeway Suite 700 Dallas, TX 75234
Managing General Agent	1605 LBJ FWY Suite 700 Dallas, TX 75234
Policyholder Information Contact Address	1605 LBJ Freeway Suite 700 Dallas, TX 75234
Premium Tax Address	1605 LBJ Freeway Suite 700 Dallas, TX 75234
Process Agent	306 W. Main Street Suite 512 Frankfort, KY 40601
Regulatory Compliance/Gvmt Relations Contact Address	1605 LBJ Freeway Suite 700 Dallas, TX 75234
Statutory Home Office	1605 LBJ Freeway Suite 700 Dallas, TX 75234
U.S. Legal Counsel for Aliens	1605 LBJ Freeway Suite 700 Dallas, TX 75234

Type	Number
Deposits Contact - Business / Home Office	(469) 522-4400
Claim Information Contact - Business / Home Office	(469) 522-4400
Company Licenses/Fees Contact - Business / Home Office	(469) 522-4400
Consumer Complaint - Business / Home Office	(469) 522-4400
Regulatory Compliance/Gvmt Relations Contact - Business / Home Office	(469) 522-4400
Policyholder Information Contact - Business / Home Office	(469) 522-4400
Business / Home Office	(469) 522-4400
Catastrophe/Disaster Coordination Contact - Business / Home Office	(469) 522-4614
U.S. Legal Counsel for aliens - Business / Home Office	(469) 522-4400
Local Office in Domestic/Foreign State Contact - Business / Home Office	(469) 522-4332
Managing General Agent - Business / Home Office	(469) 522-4400
Annual Statement - Fax	(469) 522-0034
Catastrophe/Disaster Coordination Contact - Fax	(469) 522-4401
Licensing - Agent Licensing Phone	(469) 522-4400
Annual Statement - Annual Statement	(469) 522-4400
Premium Tax Contact - Premium Tax	(469) 522-4400

Type	Internet Information
Annual Statement - Business Email	asaldivar@lbig.com
Licensing - Business Email	policyholder@lbig.com
Deposits Contact - Business Email	policyholder@lbig.com
Claim Information Contact - Business Email	plicyholder@lbig.com
Company Licenses/Fees Contact - Business Email	plicyholdre@lbig.com
Consumer Complaint - Business Email	policyholder@lbig.com
Regulatory Compliance/Gvmt Relations Contact - Business Email	policyholder@lbig.com
Policyholder Information Contact - Business Email	policyholder@lbig.com
Premium Tax Contact - Business Email	Policyholder@lbig.com
Catastrophe/Disaster Coordination Contact - Business Email	ericjohansoon@libertybankerslife.com
U.S. Legal Counsel for aliens - Business Email	policyholder@lbig.com
Local Office in Domestic/Foreign State Contact - Business Email	janet.gustafson@libertybankerslife.com
Managing General Agent - Business Email	policyholder@lbig.com