DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Insurer Details

NAME	Indemnity National Insurance Company
DOI ID	301267
FEIN #	640838376
ALIEN #
State of Domicile	MS
Domicile Country
Merged Into
NAIC #	18468
NAIC Group #
Entity Type	Insurer
Admitted	6/12/1997
AM Best Rating
President	Thomas Franklin Elkins
Process Agent	Office of General Counsel Date Assigned : 3/15/2006 (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

Health

Property

Surety

Casualty
Vehicle Insurance
Liability Insurance
Workers' Compensation & Employer's Liability
Burglary & Theft
Glass
Boiler & Machinery
Leakage & Fire Extinguishing Equipment

Marine & Transportation

Type	Address
Agent Licensing Address	238 Bedford Way Franklin, TN 37064
Annual Statement	238 Bedford Way Franklin, TN 37064
Catastrophe/Disaster Coordinator Address	238 Bedford Way Franklin, TN 37064
Claim Information Contact Address	238 Bedford Way Franklin, TN 37064
Company Licenses/Fee Contact Address	238 Bedford Way Franklin, TN 37064
Consumer Complaint	238 Bedford Way Franklin, TN 37064
Deposits Contact Address	238 Bedford Way Franklin, TN 37064
Local Domestic/Foreign State Contact Address	238 Bedford Way Franklin, TN 37064
Mailing	238 Bedford Way Franklin, TN 37064
Managing General Agent	238 Bedford Way Franklin, TN 37064
P & C Form and Rate Filing	238 Bedford Way Franklin, TN 37064
Policyholder Information Contact Address	238 Bedford Way Franklin, TN 37064
Premium Tax Address	238 Bedford Way Franklin, TN 37064
Process Agent	4800 Old Kingston Pike Knoxville, TN 37919
Regulatory Compliance/Gvmt Relations Contact Address	238 Bedford Way Franklin, TN 37064
Statutory Home Office	190 East Capital Street Suite 800 Jackson, MS 39201
U.S. Legal Counsel for Aliens	238 Bedford Way Franklin, TN 37064

Type	Number
P & C Form and Rate Filing - Business / Home Office	(615) 592-5346
Business / Home Office	(615) 592-5346
Catastrophe/Disaster Coordination Contact - Business / Home Office	(615) 592-5346
Claim Information Contact - Business / Home Office	(615) 592-5346
Company Licenses/Fees Contact - Business / Home Office	(614) 398-9306
Consumer Complaint - Business / Home Office	(615) 592-5346
Deposits Contact - Business / Home Office	(615) 592-5346
Policyholder Information Contact - Business / Home Office	(615) 592-5346
Regulatory Compliance/Gvmt Relations Contact - Business / Home Office	(615) 592-5346
Managing General Agent - Business / Home Office	(615) 592-5346
U.S. Legal Counsel for aliens - Business / Home Office	(615) 592-5346
Local Office in Domestic/Foreign State Contact - Business / Home Office	(615) 592-5346
Agent Licensing Phone	(865) 934-4360
Licensing - Agent Licensing Phone	(615) 592-5346
Annual Statement - Annual Statement	(615) 592-0710
Premium Tax Contact - Premium Tax	(614) 398-9306

Type	Internet Information
Annual Statement - Business Email	Regulatory@kewafinancial.com
Catastrophe/Disaster Coordination Contact - Business Email	regulatory@kewafinancial.com
Claim Information Contact - Business Email	regulatory@kewafinancial.com
Company Licenses/Fees Contact - Business Email	regulatory@kewafinancial.com
Consumer Complaint - Business Email	regulatory@kewafinancial.com
Deposits Contact - Business Email	regulatory@kewafinancial.com
P & C Form and Rate Filing - Business Email	regulatory@kewafinancial.com
Policyholder Information Contact - Business Email	regulatory@kewafinancial.com
Premium Tax Contact - Business Email	regulatory@kewafinancial.com
Regulatory Compliance/Gvmt Relations Contact - Business Email	regulatory@kewafinancial.com
Licensing - Business Email	regulatory@kewafinancial.com
U.S. Legal Counsel for aliens - Business Email	regulatory@kewafinancial.com
Local Office in Domestic/Foreign State Contact - Business Email	regulatory@kewafinancial.com
Managing General Agent - Business Email	regulatory@kewafinancial.com