DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Insurer Details

NAME	CSI Life Insurance Company
DOI ID	596032
FEIN #	860287520
ALIEN #
State of Domicile	NE
Domicile Country
Merged Into
NAIC #	82880
NAIC Group #	31
Entity Type	Insurer
Admitted	9/23/2004
AM Best Rating
President	John Edward Kizer
Process Agent	Michael H. Jensen Date Assigned : 9/23/2004 (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 34888 Omaha, NE 68134
Mailing	PO Box 34888 Omaha, NE 681340888
Process Agent	PO Box 34888 Omaha, NE 681340888
Statutory Home Office	1212 North 96th Street Omaha, NE 68114

Type	Number
Business / Home Office	(402) 997-8000
Annual Statement - Annual Statement	(402) 997-8406

Type	Internet Information
Annual Statement - Business Email	kyoung@csi-omaha.com