PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Insurer Details
NAMEBankers Reserve Life Insurance Company of Wisconsin
DOI ID301193
FEIN #390993433
ALIEN #
State of DomicileWI
Domicile Country
Merged Into
NAIC #71013
NAIC Group #1295
Entity TypeInsurer
Admitted8/14/1989
AM Best Rating
PresidentMitchell Lawrence Wasden
Process AgentGeneral Counsel
Date Assigned : 1/5/2012
(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
Annual Statement7700 Forsyth Blvd St. Louis, MO 63105
Catastrophe/Disaster Coordinator Address7700 Forsyth Blvd St. Louis, MO 63105
Claim Information Contact Address7700 Forsyth Blvd St. Louis, MO 63105
Company Licenses/Fee Contact Address7700 Forsyth Blvd St. Louis, MO 63105
Consumer Complaint7700 Forsyth Blvd St. Louis, MO 63105
Deposits Contact Address7700 Forsyth Blvd St. Louis, MO 63105
Local Domestic/Foreign State Contact Address7700 Forsyth Blvd St. Louis, MO 63105
Mailing7700 Forsyth Blvd. St. Louis, MO 63105
Policyholder Information Contact Address7700 Forsyth Blvd St. Louis, MO 63105
Premium Tax Address7700 Forsyth Blvd St. Louis, MO 63105
Process Agent7711 Carondelet Avenue Saint Louis, MO 63105
Regulatory Compliance/Gvmt Relations Contact Address7700 Forsyth Blvd St. Louis, MO 63105
Statutory Home Office7700 Forsyth Blvd. St. Louis, MO 63105
TypeNumber
Business / Home Office(314) 725-4477
Annual Statement - Fax(314) 725-4658
Company Licenses/Fees Contact - Fax(314) 725-4658
Catastrophe/Disaster Coordination Contact - Fax(314) 725-4658
Claim Information Contact - Fax(314) 725-4658
Consumer Complaint - Fax(314) 728-4658
Deposits Contact - Fax(314) 725-4658
Local Office in Domestic/Foreign State Contact - Fax(314) 725-4658
Policyholder Information Contact - Fax(314) 725-6458
Premium Tax Contact - Fax(314) 725-4658
Regulatory Compliance/Gvmt Relations Contact - Fax(314) 725-4658
Catastrophe/Disaster Coordination Contact - Other(314) 505-6143
Claim Information Contact - Other(314) 505-6143
Company Licenses/Fees Contact - Other(314) 505-6143
Consumer Complaint - Other(314) 505-6143
Deposits Contact - Other(314) 505-6143
Local Office in Domestic/Foreign State Contact - Other(314) 505-6143
Policyholder Information Contact - Other(314) 505-6143
Regulatory Compliance/Gvmt Relations Contact - Other(314) 505-6143
Annual Statement - Annual Statement(314) 505-6143
Premium Tax Contact - Premium Tax (314) 505-6143
TypeInternet Information
Annual Statement - Business Emailsuzelene.james@centene.com

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