DEPARTMENT OF INSURANCE

Insurer Details

NAME	SeeChange Health Insurance Company
DOI ID	301115
FEIN #	350982487
ALIEN #
State of Domicile	CA
Domicile Country
Merged Into
NAIC #	63541
NAIC Group #
Entity Type	Insurer
Admitted	12/29/1976
AM Best Rating
President	Martin Watson
Process Agent	Daniel J. Boivin Date Assigned : 12/22/2009 (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.

Type	Address
Agent Licensing Address	PO Box 16526 716 Mt. Airyshire Blvd. Columbus, OH 43216
Claim Information Contact Address	10159 Wayzata Blvd. Suite 200 Hopkins, MN 55305
Commercial Policy Department Address	10159 Wayzata Blvd. Suite 200 Hopkins, MN 55305
Company Licenses/Fee Contact Address	10159 Wayzata Blvd. Suite 200 Hopkins, MN 55305
Deposits Contact Address	10159 Wayzata Blvd. Suite 200 Hopkins, MN 55305
Local Domestic/Foreign State Contact Address	10159 Wayzata Blvd. Suite 200 Hopkins, MN 55305
Mailing	24025 Park Sorrento, Suite 100 Calabasas, CA 913024000
Managing General Agent	10159 Wayzata Blvd. Suite 200 Hopkins, MN 55305
Policyholder Information Contact Address	10159 Wayzata Blvd. Suite 200 Hopkins, MN 55305
Process Agent	10159 Wayzata Blvd. Suite 200 Hopkins, MN 55305
Regulatory Compliance/Gvmt Relations Contact Address	10159 Wayzata Blvd. Suite 200 Hopkins, MN 55305
Statutory Home Office	24025 Park Sorrento, Suite 100 Calabasas, CA 913024000
U.S. Legal Counsel for Aliens	10159 Wayzata Blvd. Suite 200 Hopkins, MN 55305

Type	Number
Business / Home Office	(763) 582-1260
Catastrophe/Disaster Coordination Contact - Fax	(866) 697-6661
Claim Information Contact - Fax	(866) 631-6661
Consumer Complaint - Fax	(866) 631-6661
Local Office in Domestic/Foreign State Contact - Fax	(866) 631-6661
Managing General Agent - Fax	(866) 631-6661
Policyholder Information Contact - Fax	(866) 631-6661
Regulatory Compliance/Gvmt Relations Contact - Fax	(866) 631-6661
Premium Tax Contact - Fax	(866) 631-6661
Company Licenses/Fees Contact - Fax	(866) 631-6661
Deposits Contact - Fax	(866) 631-6661
U.S. Legal Counsel for aliens - Fax	(866) 631-6661
Fax	(866) 631-6661
Local Office in Domestic/Foreign State Contact - Other	(763) 582-1260
Catastrophe/Disaster Coordination Contact - Other	(763) 582-1260
Claim Information Contact - Other	(763) 582-1260
Consumer Complaint - Other	(763) 582-1260
Managing General Agent - Other	(614) 582-1260
Policyholder Information Contact - Other	(763) 582-1260
Regulatory Compliance/Gvmt Relations Contact - Other	(763) 582-1260
Company Licenses/Fees Contact - Other	(763) 582-1266
U.S. Legal Counsel for aliens - Other	(763) 852-1260
Licensing - Agent Licensing Phone	(614) 797-5101
Premium Tax Contact - Premium Tax	(763) 582-1266

Type	Internet Information
Company Licenses/Fees Contact - Business Email	dpowes@seechangehealth.com
Catastrophe/Disaster Coordination Contact - Business Email	dboivin@seechangehealth.com
Claim Information Contact - Business Email	dboivin@seechangehealth.com
Consumer Complaint - Business Email	dboivin@seechangehealth.com
Local Office in Domestic/Foreign State Contact - Business Email	dboivin@seechangehealth.com
Managing General Agent - Business Email	dboivin@seechangehealth.com
Policyholder Information Contact - Business Email	dboivin@seechangehealth.com
Regulatory Compliance/Gvmt Relations Contact - Business Email	dboivin@seechangehealth.com
U.S. Legal Counsel for aliens - Business Email	dboivin@seechangehealth.com