DEPARTMENT OF INSURANCE
Insurer Details
NAMEProvident Life and Accident Insurance Company
DOI ID301525
FEIN #620331200
ALIEN #
State of DomicileTN
Domicile Country
Merged Into
NAIC #68195
NAIC Group #565
Entity TypeInsurer
Admitted5/16/1916
AM Best Rating
PresidentChristopher W. Pyne
Process AgentCorporation Service Company
Date Assigned : 7/7/2011
(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
Agent Licensing AddressOne Fountain Square Chattanooga, TN 37402
Continuing Education Provider One Fountain Square Chattanooga, TN 37402
Long Term Care PolicyOne Fountain Square Chattanooga, TN 37402
Mailing1 Fountain Square Chattanooga, TN 374021330
Process Agent421 West Main Street Frankfort, KY 40601
Statutory Home Office1 Fountain Square Chattanooga, TN 374021330
TypeNumber
Business / Home Office(423) 294-1882
Annual Statement - Fax(423) 287-8597
CE/PL Provider(800) 253-3952
Licensing - Agent Licensing Phone(423) 294-3469
Annual Statement - Annual Statement(803) 678-3931
TypeInternet Information
Annual Statement - Business Emailccurrens@unum.com
Licensing - Business Emailbedmondson@unum.com

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