SECRETARY OF HOUSING AND ECONOMIC DEVELOPMENT
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1 COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation DIVISION OF INSURANCE 1000 Washington Street, Suite 810 Boston, MA (617) Toll-free (877) CHARLES D. BAKER GOVERNOR KARYN E. POLITO LIEUTENANT GOVERNOR JAY ASH SECRETARY OF HOUSING AND ECONOMIC DEVELOPMENT JOHN C. CHAPMAN UNDERSECRETARY OF CONSUMER AFFAIRS AND BUSINESS REGULATION DANIEL R. JUDSON COMMISSIONER OF INSURANCE INDIVIDUAL DISABILITY INCOME INSURANCE POLICIES THAT MEET THE REQUIREMENTS OF MASSACHUSETTS REGULATION 211 CMR Company Name 1. ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA P.O. Box South Highway 169 Minneapolis, MN (800) P-A 1 disability income policy 06/09/99 2. ACE AMERICAN INSURANCE COMPANY P.O. Box Walnut Street WA09G Philadelphia, PA (215) AH-1400-MA disability income policy 10/23/06 AH-1500-MA disability income policy 06/19/13 3. AMALGAMATED LIFE INSURANCE COMPANY 333 Westchester Avenue White Plains, NY (914) AMINDDI-10 (MA) disability income policy 10/12/12 1 Effective November 6, 2001, Allianz Life Insurance Company of North America ceased offering its approved individual disability income policy in Massachusetts. Page 1 As of August 18, 2015
2 4. AMERICAN BANKERS LIFE ASSURANCE COMPANY OF FLORIDA Quail Roost Drive Miami, FL (800) AC6398PH-1098 disability income policy 05/23/00 5. AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS 1932 Wynnton Road Columbus, GA (800) A MA disability income policy 04/28/00 A MA disability income policy 09/26/03 A MA disability income policy 06/24/09 A57600MA disability income policy 01/17/13 6. AMERICAN FAMILY LIFE ASSURANCE COMPANY OF NEW YORK One Marcus Boulevard Albany, New York (800) NY MA disability income policy 09/03/96 NY MA disability income policy 04/13/99 7. AMERICAN FIDELITY ASSURANCE COMPANY 2000 N. Classen Blvd. Oklahoma City, Oklahoma (800) DI-99(MA) 2 disability income policy 04/27/00 8. AMERICAN GENERAL LIFE INSURANCE COMPANY 2727-A Allen Parkway Houston, Texas (800) disability income policy 05/23/05 2 American Fidelity Assurance Company notified the Division that it has not marketed the approved individual disability income policy in Massachusetts. Page 2 As of August 18, 2015
3 9. AMERICAN GENERAL LIFE AND ACCIDENT INSURANCE COMPANY American General Center Nashville, Tennessee (615) AGLA 12LSD MA disability income policy 07/26/ AMERICAN HERITAGE LIFE INSURANCE COMPANY 1776 American Heritage Life Drive Jacksonville, FL (800) DI-3MA disability income policy 03/29/89 DI-4MA disability income policy 10/06/93 DI5WMA disability income policy 11/27/01 DI61MA disability income policy 01/31/ AMERICAN INCOME LIFE INSURANCE COMPANY P.O. Box 2608 Waco, Tx (254) D50000 disability income policy 04/22/ AMERICAN NETWORK INSURANCE COMPANY 3 AON Select Company 110 Gibraltar Road, Suite #116 Horsham, PA (800) GR MA disability income policy 10/27/87 RA-GR MA disability income policy 02/25/88 2GR-90-MA disability income policy 08/13/90 GRST-91-MA disability income policy 08/06/91 4GR-94-MA disability income policy 09/15/93 ANIC-DI (96) MA disability income policy 08/12/97 5GR-RPD-97-MA disability income policy 10/08/97 ANIC-DI 2000 (MA) disability income policy 01/04/00 3 Effective January 6, 2009, American Network Insurance Company was placed in rehabilitation per order of the Pennsylvania Insurance Commissioner and the company is no longer marketing approved individual disability income policies in Massachusetts. Page 3 As of August 18, 2015
4 13. AMERICAN PHOENIX LIFE AND REASSURANCE COMPANY 100 Bright Meadow Boulevard P.O. Box 1900 Enfield, CT (860) ENTDIS97 MA disability income policy 07/21/ AMERICAN STATES LIFE INSURANCE COMPANY P.O. Box Seattle, WA (877) 4-SAFECO L (10-93) disability income policy 03/24/94 L (9-93) disability income policy 03/20/95 L (10-93) disability income policy 03/20/ AMERITAS LIFE INSURANCE CORP O Street P. O. Box Lincoln, NE (800) NC MA disability income policy 03/23/ GR MA disability income policy 03/23/ NCBOE MA 4 overhead expense disability income policy 06/02/ LS MA disability income policy 02/28/ ASSURITY LIFE INSURANCE COMPANY 1526 K Street Lincoln, NE (800) A-D 100 MA disability income policy 07/07/98 A-D 106 MA disability business expense policy 07/07/98 A-D 103 MA disability income policy 12/11/01 AAW-D112 MA disability income policy 04/22/03 AAW-D113 MA disability income policy 04/22/03 A-D 120 MA disability income policy 03/18/04 W D210 MA disability income policy 04/08/09 I H0920 MA disability income policy 08/18/11 4 Form #4503NCBOE MA replaces Form #4503BOE MA previously approved on March 23, Page 4 As of August 18, 2015
5 17. BALBOA LIFE INSURANCE COMPANY P.O. Box Irvine, CA (800) A15P E496 5 disability income policy 06/15/ BALTIMORE LIFE INSURANCE COMPANY Red Run Boulevard Owings Mills, Maryland (800) S (MA) 6 disability income policy 02/23/ S (MA) 6 disability income policy 02/23/ S (MA/RI) 6 disability business expense policy 02/23/ S (MA/RI) 6 disability business expense policy 02/23/ BANKERS FIDELITY LIFE INSURANCE COMPANY 4370 Peachtree Road, N.E. Atlanta, GA (404) B 8721 MA disability income policy 12/01/06 B 8721 DR MA disability income policy 12/01/ BANKERS LIFE & CASUALTY COMPANY 222 Merchandise Mart Plaza Chicago, IL (312) GR-D025 disability income policy 11/04/ Balboa Life Insurance Company notified the Division that it has not marketed its approved individual disability income policy in Massachusetts. Baltimore Life Insurance Company notified the Division that it has not marketed its approved individual disability income policies in Massachusetts. Page 5 As of August 18, 2015
6 21. BERKSHIRE LIFE INSURANCE COMPANY OF AMERICA 700 South Street Pittsfield, MA (413) MA (06/01) disability income policy 04/11/ MA (06/01) disability income policy 04/11/ MA (06/01) disability business buyout policy 04/11/ MA (06/01) disability business expense policy 04/11/ MA (06/01) 7 disability business expense policy 04/11/ MA (06/01) disability income policy 04/11/ (7-2001) disability income policy 02/15/ (01/11) MA 8 disability income policy 11/30/ (03/07) MA disability income policy 10/31/ (06/10) MA disability income policy 04/09/ (01/10) MA disability buy-out policy 05/10/ (06/10) MA disability income policy 05/25/ (01/10) MA overhead expense disability income policy 05/26/ (06/10) MA 9 disability income policy 09/01/ BOSTON MUTUAL LIFE INSURANCE COMPANY 120 Royall Street Canton, MA (800) D.I.-Acc-6/93 disability income policy 09/22/93 D.I.-A&S-6/93 disability income policy 09/22/93 ESO-DIS-1/95 disability income policy 03/02/95 D.I.-IMPR-7/98 disability income policy 04/15/ CENTRAL STATES HEALTH & LIFE COMPANY OF OMAHA P.O. Box Omaha NE (402) D03 MA 10 disability income policy 03/02/95 D05 MA 11 disability income policy 05/29/ Effective September 6, 2005, Berkshire Life Insurance Company of America ceased offering the above-noted approved individual disability income policy in Massachusetts. Form #1200 (01/11) MA replaces form #1200 (09/04) MA, previously approved on June 24, Form# 1400 (06/10) MA replaces Form# 1400 (03/07) MA previously approved on October 31, Effective December 1, 2002, Central States Health & Life Insurance Company ceased offering the above-noted individual disability income policy in Massachusetts. Effective January 2, 2002, Central States Health & Life Insurance Company ceased offering the above-noted individual disability income policy in Massachusetts. Page 6 As of August 18, 2015
7 24. CENTRAL STATES INDEMNITY INSURANCE COMPANY OF OMAHA 1212 N. 96 th Street Omaha NE (888) disability income policy 08/23/ THE CHESAPEAKE LIFE INSURANCE COMPANY 9151 Boulevard 26 North Richland Hills, TX (817) CH IP (01/10) MA disability income policy 05/13/ THE CINCINNATI LIFE INSURANCE COMPANY P.O. Box Cincinnati, OH (513) CLI-507-MA (3/01) disability income policy 11/27/ COLONIAL LIFE & ACCIDENT INSURANCE COMPANY 1200 Colonial Life Boulevard Columbia, SC (800) SASD-MA disability income policy 10/12/99 ENHANCE-MA disability income policy 02/17/00 DIS 1000-MA disability income policy 02/18/04 ISTD3000-MA disability income policy 07/16/15 Page 7 As of August 18, 2015
8 28. COMBINED INSURANCE COMPANY OF AMERICA 123 North Wacker Drive Chicago, IL (312) disability income policy 08/25/ MA disability income policy 11/09/ MA disability income policy 09/08/ MA disability income policy 12/04/ MA disability income policy 06/18/98 DI P69003-MA 0401 disability income policy 01/17/02 DI P69004-MA 0401 disability income policy 01/17/ MA disability income policy 01/21/ CONTINENTAL GENERAL INSURANCE COMPANY 8901 Indian Hills Drive P.O. Box Omaha, NE (402) disability income policy 01/07/ FARM FAMILY LIFE INSURANCE COMPANY P.O. Box 656 Albany, NY (518) disability income policy 10/03/ disability income policy 10/18/ (MA) disability income policy 09/24/ (MA) disability income policy 07/08/ (MA) disability income policy 07/08/ (MA) disability income policy 07/08/ (MA) disability business expense policy 07/08/ The original certificate (Form#19824-MA) was originally approved on September 8, Carrier replaced the original certificate with the above-noted revised certificate (Form# MA 809) on October 28, The original certificate (Form#19819-MA) was originally approved on December 4, Carrier replaced the original certificate with the above-noted revised certificate (Form# MA-1208) on April 6, Effective June 2008, Continental General Insurance Company ceased offering its above-noted approved individual disability income policy in Massachusetts. Page 8 As of August 18, 2015
9 31. FEDERATED LIFE INSURANCE COMPANY 121 E. Park Square P.O. Box 328 Owatonna, MN (800) DI(MA) (05-96) disability income policy 03/30/99 DI(MA) (01-01) disability income policy 05/17/ GOVERNMENT PERSONNEL MUTUAL LIFE INSURANCE COMPANY 2211 N.E. Loop 410 P.O. Box San Antonio, TX (800) GDI113-MA-R disability income policy 05/21/ THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA 7 Hanover Square New York, NY (800) AH55-A disability income policy 05/19/81 NC56-A disability income policy 05/19/81 AH84 15 disability buyout policy 12/21/86 NC97 15 disability income policy 03/07/88 NC111-MA 15 disability income policy 10/06/98 NC112-MA 15 disability income policy 02/05/99 OE102-MA 15 disability business expense policy 03/10/ HCC LIFE INSURANCE COMPANY 225 TownPark Drive, Suite 145 Kennesaw, GA (770) Policy #s HCCSU IND-13-MA 16 disability income policy 08/18/15 HCCSU TPI-13 SP PTD-MA 16 disability income policy 08/18/15 HCCSU TPI-13 SP TTD-MA 16 disability income policy 08/18/15 HCCSU TPI-13 EE PTD-MA 16 disability income policy 08/18/15 HCCSU TPI-13 MLB TTD-MA 16 disability income policy 08/18/ Effective July 1, 2001, The Guardian Life Insurance Company of America ceased offering these above-noted approved individual disability income policies in Massachusetts. Policy will be marketed primarily to executives, entertainers and athletes of various sports entities. Page 9 As of August 18, 2015
10 35. HORACE MANN LIFE INSURANCE COMPANY 1 Horace Mann Plaza Springfield, IL (217) Policy #s GC-S1I01K disability income policy 10/06/87 GC-S1I02X disability income policy 02/02/ ILLINOIS MUTUAL LIFE INSURANCE COMPANY 300 S.W. Adams Street Peoria, IL (800) MA disability income policy 08/24/ MA disability income policy 08/24/ MA disability business expense policy 08/24/ MA disability income policy 08/24/99 BE21 MA disability business expense policy 08/28/00 GR21 MA disability income policy 08/28/00 NC21 MA disability income policy 08/28/00 PD21 MA disability income policy 08/28/00 SR21 MA disability income policy 08/28/00 SRBE21 MA disability business expense policy 06/10/05 DI105 (MA) disability income policy 09/21/ KANAWHA INSURANCE COMPANY 210 South White Street Lancaster, SC (877) /05-MA disability income policy 06/08/ KNIGHTS OF COLUMBUS One Columbus Plaza New Haven, CT (203) DI01-MA 1-11 disability income policy 03/25/11 Page 10 As of August 18, 2015
11 39. LOYAL AMERICAN LIFE INSURANCE COMPANY P.O. Box 5418 Cincinnati, OH (800) L disability income policy 04/30/ MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY State Street Springfield, MA (800) DP181-MA-9200 disability business expense policy 04/02/92 BOE-I-92 MA disability business expense policy 06/14/93 BOE-A-92 MA disability business expense policy 06/14/93 BOE-G-92 MA disability business expense policy 06/14/93 SBOE-I-92 MA disability business expense policy 06/14/93 SBOE-A-92 MA disability business expense policy 06/14/93 SBOE-G-92 MA disability business expense policy 06/14/93 DP188-MA-9500 disability income policy 06/14/95 DP188-MA-9500F disability income policy 06/14/95 DP288-MA-9500 disability income policy 06/14/95 DP288-MA-9500F disability income policy 06/14/95 DP388-MA-9500 disability income policy 06/14/95 DP388-MA-9500F disability income policy 06/14/95 DP488-MA-9500 disability income policy 06/14/95 DP488-MA-9500F disability income policy 06/14/95 XL-I-95 MA 18 disability income policy 11/13/95 XL-A-95 MA 18 disability income policy 11/13/95 XL-G-95 MA 18 disability income policy 11/13/95 XL-OI-91 MA disability income policy 12/01/97 XL-OA-91 MA disability income policy 12/01/97 XL-OG-91 MA disability income policy 12/01/97 XL-IS-92 MA disability income policy 12/01/97 XL-AS-92 MA disability income policy 12/01/97 XL-GS-92 MA disability income policy 12/01/97 Axis-98 MA disability income policy 09/23/98 BOE-99 (MA) disability business expense policy 10/13/99 BSELL-00(MA) disability business buyout policy 02/02/00 AP-01 (MA) disability income policy 05/21/01 XLS-IS-92 (MA) disability income policy 03/12/04 XLS-ME-04 (MA) disability income policy 05/17/ Effective October 1, 2007, Loyal American Life Insurance Company ceased offering its approved individual disability income policy in Massachusetts. Effective March 1, 1996, Connecticut Mutual Life Insurance Company merged into Massachusetts Mutual Life Insurance Company and acquired the listed individual disability income policies that were approved on November 13, Page 11 As of August 18, 2015
12 41. METROPOLITAN LIFE INSURANCE COMPANY P.O. Box Tampa, FL (800) IDI2000-P/NC-ML disability income policy 08/07/01 IDI2000-P/NC-(MA) disability income policy 08/07/01 IDI2000-P/GR (MA) disability income policy 08/07/01 IDIP12-01-MA disability income policy 01/29/ MINNESOTA LIFE INSURANCE COMPANY 400 Robert Street North St. Paul MN (651) MHC disability income policy 07/19/90 MHC disability income policy 07/19/ MUTUAL OF OMAHA INSURANCE COMPANY Mutual of Omaha Plaza Omaha, NE (402) BE--Series disability business expense policy 03/10/80 DM44--Series disability income policy 08/01/88 D Series disability income policy 08/13/90 DE45---Series disability income policy 02/01/91 D disability income policy 03/25/08 D disability income policy 03/25/08 D disability income policy 03/25/08 D disability income policy 03/25/08 D disability income policy 03/25/08 D disability income policy 03/25/08 D disability income policy 01/13/11 D disability income policy 01/13/11 D disability income policy 01/13/11 D disability income policy 01/13/11 D disability income policy 01/13/11 D disability income policy 01/13/11 D disability income policy 01/13/11 D disability income policy 01/13/11 D disability income policy 01/13/11 D disability income policy 01/13/11 19 Effective October 2000, Minnesota Life Insurance Company ceased offering its approved individual disability income policies in Massachusetts. Page 12 As of August 18, 2015
13 44. NATIONWIDE LIFE INSURANCE COMPANY One Nationwide Plaza Columbus, Ohio (800) HEALTH disability income policy 02/10/ NEW ENGLAND LIFE INSURANCE COMPANY 21 Disability Income Administration Center 18 Chestnut Street Worcester, MA (508) a MA disability income policy 06/28/ MA disability business buyout policy 08/20/ MA disability income policy 12/18/ MA disability business expense policy 01/24/ MA disability income policy 01/24/ MA disability business buyout policy 06/05/ MA disability income policy 06/05/ MA disability income policy 06/05/ MA disability income policy 06/13/ MA disability income policy 04/11/ MA PE disability income policy 04/11/ NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY 720 East Wisconsin Avenue P.O. Box 1237 Milwaukee, WI (414) RR.GRD1.(0101) disability income policy 11/29/00 RR.NCD1.(0101) disability income policy 11/29/00 RR.BUY.(0101) disability business buyout policy 11/29/00 RR.KEY.(0101) disability income policy 11/29/00 RR.DOE.(0101) disability business expense policy 11/29/00 RR.INT.(0101) disability income policy 11/29/ Effective January 2002 Nationwide Life Insurance Company ceased offering its approved individual disability income policy in Massachusetts. Effective January 2007, New England Life Insurance Company ceased offering its approved individual disability income policy in Massachusetts. Page 13 As of August 18, 2015
14 47. OHIO NATIONAL LIFE ASSURANCE CORPORATION P.O. Box 237 Cincinnati OH (800) DB-23 disability business buyout policy 09/19/96 93-DE-23.1 disability business expense policy 09/19/96 95-DE-23.2 disability business expense policy 09/19/96 11DI-1.MA disability income policy 01/06/12 11DI-2.MA disability income policy 01/06/12 13DE-1.MA disability business expense policy 06/20/13 13DB-1.MA disability business buyout policy 06/20/ OHIO NATIONAL LIFE INSURANCE COMPANY P.O. Box 237 Cincinnati, OH (513) DI-23.1 disability income policy 09/24/96 95-DI-23.2 disability income policy 09/24/96 03-DI-23.1 disability income policy 05/10/07 03-DI-23.2 disability income policy 05/10/ OLD REPUBLIC LIFE INSURANCE COMPANY 307 North Michigan Avenue Chicago, IL (312) (MA) 22 disability income policy 09/24/96 22 Old Republic Life Insurance Company notified the Division that it is no longer marketing its individual disability income policy in Massachusetts. Page 14 As of August 18, 2015
15 50. THE PAUL REVERE LIFE INSURANCE COMPANY 18 Chestnut Street Worcester, MA (508) MA 23 disability buyout income policy 08/20/ MA 23 disability business expense policy 01/24/ MA 24 disability income policy 01/24/ MA 25 disability income policy 06/11/ MA 25 disability income policy 04/11/ MA PE 25 disability income policy 04/11/ PRINCIPAL LIFE INSURANCE COMPANY 711 High Street Des Moines, IA (515) HH 700 MA disability income policy 03/28/00 HH 700 MA U disability income policy 03/28/00 HH 702 MA overhead expense policy 03/28/00 HH 703 MA disability business buyout policy 03/28/00 HH 750 MA disability income policy 06/16/04 HH 750 MA U disability income policy 06/16/04 HH 772 MA disability income policy 03/10/09 HH 789 MA 26 overhead expense policy 01/14/ PROFESSIONAL INSURANCE COMPANY 100 Bright Meadow Blvd P.O. Box 1955 Enfield, CT (800) HPDI disability income policy 05/10/05 HPDI2009 MA disability income policy 07/17/ Effective October 1, 1999, Paul Revere Life Insurance Company ceased offering these approved individual disability income policies in Massachusetts. Effective January 1, 1998, Paul Revere Life Insurance Company ceased offering these approved individual disability income policies in Massachusetts. Effective April 30, 2002, Paul Revere Life Insurance Company ceased offering these approved individual disability income policies in Massachusetts. Form #HH 789 MA replaces form #HH 702 MA, previously approved on March 28, Page 15 As of August 18, 2015
16 53. PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY One Fountain Square Chattanooga, TN (800) disability income policy 04/19/ NC-MA disability income policy 06/01/ GR-MA disability income policy 06/01/ MA disability income policy 06/01/ MA disability business expense policy 06/21/ MA disability business buyout policy 09/20/ B-MA disability income policy 03/13/ MA disability income policy 07/09/ GR-MA disability income policy 11/24/ LE-MA disability income policy 08/31/ LE-GR-MA disability income policy 08/31/94 400NC disability income policy 12/19/95 400GR disability income policy 12/19/95 409NC disability income policy 09/19/96 450NC disability income policy 09/19/96 450GR disability income policy 09/19/96 L disability income policy 01/09/97 460GR disability income policy 08/05/ MA disability income policy 10/06/97 500A-MA disability income policy 10/06/97 410NC disability income policy 02/23/98 475NC disability income policy 06/18/98 975P-MA disability income policy 10/19/98 975P-MA-G disability income policy 10/19/ MA disability income policy 09/12/ MA disability income policy 09/12/ G-MA disability income policy 09/12/ G-MA disability income policy 09/12/00 L disability income policy 02/14/ MA disability business expense policy 01/04/ MA disability business expense policy 01/04/ MA disability income policy 05/24/ GI-MA disability income policy 05/24/10 Page 16 As of August 18, 2015
17 54. RIVERSOURCE LIFE INSURANCE COMPANY Ameriprise Financial Center Minneapolis, MN G-MA disability income policy 01/28/ G-MA disability income policy 01/28/ G-MA disability income policy 01/28/ G-MA disability income policy 01/28/ G-MA disability income policy 01/28/ C-MA 27 disability income policy 08/12/ C-MA 27 disability income policy 08/12/ C-MA 27 disability income policy 08/12/ D-MA 27 disability income policy 07/16/ SIRIUS AMERICA INSURANCE COMPANY 140 Broadway, 32 nd Floor New York, NY (212) SHLD MA high-limit disability income policy 03/20/ STANDARD INSURANCE COMPANY P.O. Box 711 Portland, OR (800) B130.2(3/01)MA disability income policy 05/09/01 B128.2(11/03)MA disability buyout income policy 09/09/05 B152(5/05)MA disability income policy 08/17/06 B170(7/10)MA disability income policy 12/28/11 B170GI(7/10)MA disability income policy 12/28/ SURETY LIFE INSURANCE COMPANY P.O. Box Lincoln, NE (800) DI-P00 (09/95) MA 28 disability income policy 09/15/ Effective December 31, 2006, IDS Life Insurance Company changed its name to RiverSource Life Insurance Company represented by these above-noted approved individual disability policies. Effective August 31, 1999, Surety Life Insurance Company ceased offering its approved individual disability income policy in Massachusetts. Page 17 As of August 18, 2015
18 58. THRIVENT FINANCIAL FOR LUTHERANS 29 (A Fraternal Benefit Society) 4321 North Ballard Road Appleton, Wisconsin (800) MA12124 disability income certificate 10/24/00 MA12125 disability income certificate 10/24/00 H2-GB-GRBOE-1 disability business expense policy 03/13/01 H2-NB-NCBOE-1 disability business expense policy 03/13/ TIME INSURANCE COMPANY 511 West Michigan P.O. Box 3050 Milwaukee, WI (800) POL.MA disability income policy 12/9/ TRANSAMERICA ASSURANCE COMPANY 1150 South Olive Los Angeles, CA (800) H disability income policy 06/03/ TRUSTMARK INSURANCE COMPANY 400 Field Drive Lake Forest, IL (877) DI-699A disability income policy 04/28/00 DI-699B disability income policy 04/28/00 DI-699C disability income policy 04/28/00 DI-699D disability income policy 04/28/00 DI-902(I) disability income policy 12/29/03 29 Effective August 6, 2002, Aid Association for Lutherans and Lutheran Brotherhood merged into the newly named Thrivent Financial for Lutherans. Page 18 As of August 18, 2015
19 62. UNION CENTRAL LIFE INSURANCE COMPANY 1876 Waycross Road P.O. Box Cincinnati, OH (513) UC 4401 MA disability income policy 05/24/99 UC 4402 MA disability income policy 05/24/99 UC 4403 MA disability business expense policy 05/24/ UNIFIED LIFE INSURANCE COMPANY 30 P.O. Box Overland Park, KS (800) DI-98-A disability income policy 03/01/ UNIVERSAL UNDERWRITERS LIFE INSURANCE COMPANY 7045 College Boulevard Overland Park, KS (800) DMA disability income policy 07/13/ UNUM LIFE INSURANCE COMPANY OF AMERICA 2211 Congress Street Portland, ME (800) KP86 MA 32 disability income policy 01/22/86 BS86 MA 33 disability buyout income policy 06/02/86 OP90 MA 31 disability business expense policy 04/25/90 INC95 MA 31 disability income policy 07/28/95 ISC95 MA 31 disability income policy 07/28/95 EDP98MA 31 disability income policy 02/22/ Effective September 2001, Concord General Life Insurance Company, Inc. changed its name to Unified Life Insurance Company. Universal Underwriters Life Insurance Company notified the Division its approved individual disability income policy has not been marketed in Massachusetts. Effective December 2002, Unum Life Insurance Company ceased offering these approved individual disability income policies in Massachusetts. Effective October 1, 1999, Unum Life Insurance Company ceased offering these approved individual disability income policies in Massachusetts. Page 19 As of August 18, 2015
20 66. WELLCARE HEALTH INSURANCE OF ILLLINOIS West Adams Suite 800 Chicago, IL USA (813) HOL MA 35 disability income policy 11/04/ Effective September 27, 2006, Home Owner s Life Insurance Company s name was changed to WellCare Health Insurance of Illinois, Inc. Effective September 27, 2006, WellCare Health Insurance of Illinois, Inc. ceased offering the approved individual disability income policy in Massachusetts. Page 20 As of August 18, 2015
SECRETARY OF HOUSING AND ECONOMIC DEVELOPMENT
COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation DIVISION OF INSURANCE 1000 Washington Street, Suite 810 Boston, MA 02118-6200 (617) 521-7794 Toll-free (877) 563-4467 http://www.mass.gov/doi
SECRETARY OF HOUSING AND ECONOMIC DEVELOPMENT
COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation DIVISION OF INSURANCE 1000 Washington Street, Suite 810 Boston, MA 02118-6200 (617) 521-7794 Toll-free (877) 563-4467 http://www.mass.gov/doi
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