PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Insurer Details
NAMEJefferson Insurance Company
DOI ID301127
FEIN #135556470
ALIEN #
State of DomicileNY
Domicile Country
Merged Into
NAIC #11630
NAIC Group #761
Entity TypeInsurer
Admitted9/25/1956
AM Best Rating
PresidentJeffrey Scott Wright
Process AgentCorporation Service Company
Date Assigned : 10/21/2013
(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
Property
Casualty
Vehicle Insurance
Liability Insurance
Burglary & Theft
Personal Property Floater
Glass
Leakage & Fire Extinguishing Equipment
Malpractice
Failure of Certain Institutions to Record Documents
Miscellaneous
Marine & Transportation
TypeAddress
Annual Statement9950 Mayland Drive Richmond, VA 23233
Claim Information Contact Address9950 Mayland Drive Richmond, VA 23233
Consumer Complaint9950 Mayland Drive Richmond, VA 23233
Local Domestic/Foreign State Contact Address9950 Maryland Drive Richmond, VA 23233
Mailing9950 Mayland Drive Richmond, VA 23233
Policyholder Information Contact Address9950 Mayland Drive Richmond, VA 23233
Process Agent421 West Main Street Frankfort, KY 40601
Statutory Home Office1633 Broadway 42nd Floor New York, NY 10019
TypeNumber
P & C Form and Rate Filing - Business / Home Office(804) 673-1424
Managing General Agent - Business / Home Office(804) 673-1474
Policyholder Information Contact - Business / Home Office(804) 219-9224
Consumer Complaint - Business / Home Office(804) 219-9224
Catastrophe/Disaster Coordination Contact - Business / Home Office(804) 673-1528
Claim Information Contact - Business / Home Office(804) 219-9224
Company Licenses/Fees Contact - Business / Home Office(804) 673-7189
Regulatory Compliance/Gvmt Relations Contact - Business / Home Office(804) 281-6707
U.S. Legal Counsel for aliens - Business / Home Office(804) 673-1533
Business / Home Office(800) 548-8510
Local Office in Domestic/Foreign State Contact - Business / Home Office(804) 219-9224
Premium Tax Contact - Fax(804) 673-1590
Claim Information Contact - Fax(804) 673-1467
Consumer Complaint - Fax(804) 673-1467
Local Office in Domestic/Foreign State Contact - Fax(804) 673-1467
Policyholder Information Contact - Fax(804) 673-1467
Annual Statement - Fax(804) 673-1590
Licensing - Agent Licensing Phone(804) 673-1474
Annual Statement - Annual Statement(804) 290-9120
TypeInternet Information
Annual Statement - Business Emailbejan.tolu@allianz.com
Policyholder Information Contact - Business EmailDomenic.Millen2@allianz.com
Consumer Complaint - Business Emailconsumercomplaintsusa@allianz.com
Claim Information Contact - Business Emaildomenic.millen2@allianz.com
Local Office in Domestic/Foreign State Contact - Business EmailDomenic.Millen2@allianz.com

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