DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Insurer Details

NAME	Amica Life Insurance Company
DOI ID	301676
FEIN #	050340166
ALIEN #
State of Domicile	RI
Domicile Country
Merged Into
NAIC #	72222
NAIC Group #	28
Entity Type	Insurer
Admitted	7/29/1981
AM Best Rating
President	Edmund Shallcross, III
Process Agent	Suzanne E. Casey Date Assigned : 12/21/2011 (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

Type	Address
Agent Licensing Address	One Hundred Amica Way Lincoln, RI 02865
Mailing	P.O. Box 6008 Providence, RI 029406008
Process Agent	100 Amica Way Lincoln, RI 02865
Statutory Home Office	100 Amica Way Lincoln, RI 028651156

Type	Number
Business / Home Office	(800) 652-6422
Licensing - Agent Licensing Phone	(800) 992-6422
Annual Statement - Annual Statement	(800) 652-6422 - 22365

Type	Internet Information
Annual Statement - Business Email	mbakerjr@amica.com