DEPARTMENT OF INSURANCE
Insurer Details
NAMEIndependence American Insurance Company
DOI ID524747
FEIN #741746542
ALIEN #
State of DomicileDE
Domicile Country
Merged Into
NAIC #26581
NAIC Group #5062
Entity TypeInsurer
Admitted4/10/2001
AM Best Rating
PresidentJon Andrew Dubauskas
Process AgentCT Corporation System
Date Assigned : 6/23/2014
(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
Casualty
Vehicle Insurance
Liability Insurance
Burglary & Theft
Personal Property Floater
Glass
Boiler & Machinery
Leakage & Fire Extinguishing Equipment
Credit
Malpractice
Elevator
Congenital Defects
Livestock
Entertainments
Miscellaneous
Marine & Transportation
TypeAddress
Additional Business Location 111333 North Scottsdale Road Suite 160 Scottsdale, AZ 85254
Annual Statement121 West 27th Street Suite 803 New York, NY 10001
Claim Information Contact Address11333 North Scottsdale Road Suite 160 Scottsdale, AZ 85254
Consumer Complaint11333 North Scottsdale Road Suite 160 Scottsdale, AZ 85254
Mailing11333 North Scottsdale Road Suite 160 Scottsdale, AZ 85254
Policyholder Information Contact Address11333 North Scottsdale Road Suite 160 Scottsdale, AZ 85254
Process Agent306 West Main Street Suite 512 Frankfort, KY 40601
TypeNumber
Claim Information Contact - Business / Home Office(952) 777-2594
Consumer Complaint - Business / Home Office(623) 278-4832
Local Office in Domestic/Foreign State Contact - Business / Home Office(602) 834-0792
Policyholder Information Contact - Business / Home Office(623) 278-4832
Business / Home Office(877) 559-7919
Annual Statement - Annual Statement(646) 732-7384
TypeInternet Information
Annual Statement - Business Emailaguarino@independenceamerican.com
Claim Information Contact - Business Emailjlizakowski@independenceamerican.com
Consumer Complaint - Business Emailcomplaints@independenceamerican.com
Local Office in Domestic/Foreign State Contact - Business Emailsnevin@independenceamerican.com
Policyholder Information Contact - Business Emailcomplaints@independenceamerican.com

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