DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Insurer Details

NAME	Meridian Health Plan of Michigan, Inc.
DOI ID	802167
FEIN #	383253977
ALIEN #
State of Domicile	MI
Domicile Country	USA
Merged Into
NAIC #	52563
NAIC Group #	1295
Entity Type	Insurer
Admitted	4/30/2013
AM Best Rating
President	Patricia Ann Miller Graham
Process Agent	CT Corporation Date Assigned : 9/18/2018 (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

Health Maintenance Organization

Type	Address
Agent Licensing Address	1 Campus Martius Suite 700 Detroit, MI 48226
Mailing	8725 Henderson Rd. Tampa, FL 33634
Process Agent	306 West Main Street Suite 512 Frankfort, KY 40601
Statutory Home Office	777 Woodward Avenue Detroit, MI 48226

Type	Number
Business / Home Office	(314) 725-4477
Annual Statement - Business / Home Office	(813) 206-2725
Annual Statement - Fax	(813) 675-2899