DEPARTMENT OF INSURANCE
Insurer Details
NAMEDearborn Life Insurance Company
DOI ID300401
FEIN #362598882
ALIEN #
State of DomicileIL
Domicile Country
Merged Into
NAIC #71129
NAIC Group #917
Entity TypeInsurer
Admitted11/5/1979
AM Best Rating
PresidentMichael William Witwer
Process AgentCorporation Service Company
Date Assigned : 3/20/2019
(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 AddressAttn: Sherry Franklin, Commission Dept 1020 31st Street Downers Grove, IL 60515
Business / Home Office701 East 22nd Street Lombard, IL 60148
Claim Information Contact Address701 East 22nd Street Lombard, IL 60148
Local Domestic/Foreign State Contact Address701 East 22nd Street Lombard, IL 60148
Mailing701 East 22nd Street Suite 450 Lombard, IL 60148
Policyholder Information Contact Address701 East 22nd Street Lombard, IL 60148
Process Agent421 West Main Street Frankfort, KY 40601
Statutory Home Office300 East Randolph Street Chicago, IL 606015099
TypeNumber
Local Office in Domestic/Foreign State Contact - Mobile(800) 721-7897
Business / Home Office(800) 721-7897
Claim Information Contact - Business / Home Office(630) 458-2229
Consumer Complaint - Business / Home Office(630) 691-0365
Local Office in Domestic/Foreign State Contact - Business / Home Office(630) 519-0718
Policyholder Information Contact - Business / Home Office(630) 458-2229
Annual Statement - Other(800) 721-7897
Claim Information Contact - Other(800) 721-7897
Consumer Complaint - Other(800) 721-7897
Policyholder Information Contact - Other(800) 721-7897
Annual Statement - Annual Statement(630) 458-2274
TypeInternet Information
Annual Statement - Business EmailSusan_Newsted@mydearborngroup.com
Claim Information Contact - Business Emaildavid_warden@mydearborngroup.com
Consumer Complaint - Business Emailcheryl_hales@bcbsil.com
Local Office in Domestic/Foreign State Contact - Business Emailmichael_hartman@mydearborngroup.com
Policyholder Information Contact - Business Emaildavid_warden@mydearborngroup.com

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