PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Insurer Details
NAMERevol One Insurance Company
DOI ID300681
FEIN #382341728
ALIEN #
State of DomicileMI
Domicile Country
Merged Into
NAIC #93777
NAIC Group #0
Entity TypeInsurer
Admitted11/24/1987
AM Best Rating
PresidentMark A. Zesbaugh
Process AgentCindy Reed
Date Assigned : 3/16/2023
(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 Address180 Mt. Airy Road Suite 101 Basking Ridge, NJ 07920
Annual Statement180 Mount Airy Rd. Suite 101 Basking Ridge, NJ 07920
Catastrophe/Disaster Coordinator Address2327 Englert Drive Durham, NC 27713
Claim Information Contact Address180 Mt. Airy Road Suite 101 Basking Ridge, NJ 07920
Company Licenses/Fee Contact Address180 Mt. Airy Road Suite 101 Basking Ridge, NJ 07920
Consumer Complaint180 Mount Airy Rd. Basking Ridge, NJ 07920
Deposits Contact Address180 Mt. Airy Road Suite 101 Basking Ridge, NJ 07920
Local Domestic/Foreign State Contact Address28400 Northwestern Hwy. 2nd Floor-Essex Centre Southfield, MI 48034
Mailing11259 Aurora Avenue Aurora Business Park Building 7 Urbandale, IA 50322
Managing General Agent180 Mt. Airy Road Suite 101 Basking Ridge, NJ 07920
Policyholder Information Contact Address180 Mt. Airy Road Suite 101 Basking Ridge, NJ 07920
Premium Tax Address180 Mt. Airy Road Suite 101 Basking Ridge, NJ 07920
Process Agent2327 Englert Drive Durham, NC 27713
Regulatory Compliance/Gvmt Relations Contact Address2327 Englert Drive Durham, NC 27713
Statutory Home Office2215 Oak Industrial Dr. NE Suite 206 Grand Rapids, MI 49505
U.S. Legal Counsel for Aliens2327 Englert Drive Durham, NC 27713
TypeNumber
Catastrophe/Disaster Coordination Contact - Business / Home Office(919) 205-0669
Claim Information Contact - Business / Home Office(800) 323-1314
Company Licenses/Fees Contact - Business / Home Office(201) 651-5176
Consumer Complaint - Business / Home Office(201) 651-5164
Deposits Contact - Business / Home Office(201) 651-5180
Policyholder Information Contact - Business / Home Office(803) 462-7482
Regulatory Compliance/Gvmt Relations Contact - Business / Home Office(919) 230-0580
U.S. Legal Counsel for aliens - Business / Home Office(919) 205-0669
Managing General Agent - Business / Home Office(201) 651-5163
Business / Home Office(800) 701-4250
Annual Statement - Fax(201) 651-5099
Licensing - Agent Licensing Phone(201) 651-5163
Annual Statement - Annual Statement(201) 651-5167
Premium Tax Contact - Premium Tax (201) 651-5173
TypeInternet Information
Licensing - Business EmailKristan.VanDerMeer@pavonia-life.com
Regulatory Compliance/Gvmt Relations Contact - Business Emaillouis.belo@globalbanker.com
Catastrophe/Disaster Coordination Contact - Business Emailtamre.edwards@globalbanker.com
Claim Information Contact - Business Emailchristine.lamb@pavonis-life.com
Company Licenses/Fees Contact - Business Emailkatherine.zaccogna@globalbanker.com
Consumer Complaint - Business Emailrebecca.vogt@pavonia-life.com
Deposits Contact - Business Emailronald.yawger@globalbanker.com
Policyholder Information Contact - Business Emailarchana.gone@pavonia-life.com
Premium Tax Contact - Business EmailDenise.Ciccone@globalbanker.com
U.S. Legal Counsel for aliens - Business Emailtamre.edwards@globalbankers.com
Local Office in Domestic/Foreign State Contact - Business EmailKristian.VanDerMeer@pavonia-life.com
Managing General Agent - Business EmailKristan.VanDerMeer@pavonia-life.com

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