DEPARTMENT OF INSURANCE
Insurer Details
NAMEHumana Wisconsin Health Organization Insurance Corporation
DOI ID830687
FEIN #391525003
ALIEN #
State of DomicileWI
Domicile CountryUSA
Merged Into
NAIC #95342
NAIC Group #119
Entity TypeInsurer
Admitted3/19/2014
AM Best Rating
PresidentBruce Dale Broussard
Process AgentCT Corporation System
Date Assigned : 9/30/2022
(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
TypeAddress
MailingP.O. Box 740036 Louisville, KY 40201
Process Agent306 West Main Street Suite 512 Frankfort, KY 40601
Regulatory Compliance/Gvmt Relations Contact Address500 West Main Louisville, KY 40202
Statutory Home OfficeN19W 24133 Riverwood Dr. Suite 300 Waukesha, WI 53188
TypeNumber
Business / Home Office(262) 408-4300
Regulatory Compliance/Gvmt Relations Contact - Business / Home Office(502) 580-1789
TypeInternet Information
Annual Statement - Business EmailDOIINQUIRIES@humana.com
Licensing - Business Emailariemer@humana.com
Regulatory Compliance/Gvmt Relations Contact - Business Emailkdaugherty5@humana.com

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