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 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 SPECIFIED DISEASE INSURANCE POLICIES (Plans that meet the requirements of MG.L. c. 175 and c. 176 and regulations 211 CMR 42.00 and 211 CMR 146.000 - Massachusetts Specified Disease Insurance Regulation) 1. AETNA LIFE INSURANCE COMPANY 151 Farmington Avenue Hartford, CT 06156 (800) 264-4000 ALCCANHS14 MA critical illness policy 08/27/15 ALCCANFD14 MA cancer only policy 08/27/15 2. AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS 1932 Wynnton Road Columbus, GA 31999 (800) 992-3522 A -76100-MA specified disease policy 08/27/08 A72100MA critical illness policy 05/25/10 A72200MA cancer only policy 05/25/10 A75100MAR 1 cancer only policy 09/10/10 A75200MAR 1 cancer only policy 09/10/10 A52300MAR 1 cancer only policy 09/10/10 A761ESMA cancer only policy 12/20/10 A78100MA cancer only policy 02/03/14 A78200MA cancer only policy 02/03/14 A78300MA cancer only policy 02/03/14 A78400MA cancer only policy 02/03/14 A73100MA critical illness policy 02/28/14 A7310HMA critical illness policy 02/28/14 CIR100MA critical illness policy 01/21/15 CIR100HMA critical illness policy 01/21/15 1 These policies replaced A-75100-MA, A-75200-MA and A-75300-MA, originally approved October 23, 2003 and which ceased to be offered in Massachusetts effective January 13, 2010. Page 1 As of October 6, 2015
3. AMERICAN FIDELITY ASSURANCE COMPANY 2000 N. Classen Blvd Oklahoma City, OK 73106 (800) 437-1011 C12D06(MA) cancer only policy 02/09/09 C12M06(MA) cancer only policy 02/09/09 CRIT11MA critical illness policy 02/24/12 4. AMERICAN PUBLIC LIFE INSURANCE COMPANY 2305 Lakeland Drive Flowood, MS 39232 (800) 256-8606 CPM 2200 MA 2 specified disease policy 05/19/09 5. ASSURITY LIFE INSURANCE COMPANY P.O. Box 80926 Lincoln, NB 68501-0926 (866) 289-0926 AAW-CC118 MA 3 specified disease policy 08/23/04 AAW-C120 MA 4 specified disease policy 08/23/04 6. BANKERS LIFE AND CASUALTY COMPANY 111 East Wacker Drive, Suite 2100 Chicago, IL 60601 (800) 621-3724 GR-G220 specified disease policy 03/12/13 GR-G222 critical illness policy 03/12/13 GR-G224 critical illness policy 03/12/13 2 3 4 American Public Life Insurance Company notified the Division on March 16, 2011 that the company is not marketing its approved individual specified disease policy in Massachusetts at this time. Assurity Life Insurance Company notified the Division on June 20, 2010 that the company has never marketed its approved individual specified disease policy in Massachusetts. As of September 6, 2007, Assurity Life Insurance Company ceased offering its approved individual cancer only policy in Massachusetts. Page 2 As of October 6, 2015
7. THE CHESAPEAKE LIFE INSURANCE COMPANY 9151 Boulevard 26 North Richland Hills, TX 76180 (817) 255-3100 CH-26113-IP (01/10) MA critical illness policy 05/13/11 8. COLONIAL LIFE & ACCIDENT INSURANCE COMPANY P.O. Box 1365 Columbia SC 29202 (800) 325-4368 INCANB-MA 5 specified disease policy 12/29/03 INCANMOD-MA 5 specified disease policy 12/29/03 C1000-MA specified disease policy 02/22/06 CI(2006)-C-MA specified disease policy 08/28/07 CI(2006)-NWC-MA specified disease policy 08/28/07 CI(2006)-WC-MA specified disease policy 08/28/07 CI(2006)-W-MA specified disease policy 08/28/07 CI-1.0-PL1-MA specified disease policy 04/15/10 CI-1.0-PL2-MA specified disease policy 04/15/10 CI-1.0-PL3-MA specified disease policy 04/15/10 CI-1.0-PL4-MA specified disease policy 04/15/10 CI-1.0-PL5-MA specified disease policy 04/15/10 CI-1.0-PL6-MA specified disease policy 04/15/10 CI-1.0-PL7-MA specified disease policy 04/15/10 CI-1.0-PL8-MA specified disease policy 04/15/10 CI-1.0-PL9-MA specified disease policy 04/15/10 CI-1.0-PL10-MA specified disease policy 04/15/10 CanAssist-MA specified disease policy 01/14/15 9. COMBINED INSURANCE COMPANY OF AMERICA 1000 Milwaukee Avenue Glenview, IL 60035 (800) 490-1322 16521-MA critical illness policy 03/15/10 5 Effective October 1, 2006, Colonial Life & Accident Insurance Company ceased offering its approved individual specified disease policy in Massachusetts. Page 3 As of October 6, 2015
10. KANAWHA INSURANCE COMPANY P. O. Box 610 Lancaster, SC 29721 (877) 378-1505 70620 MA 6 critical illness policy 01/27/11 11. LIBERTY INSURANCE UNDERWRITERS, INC. 55 Water Street, 18 th Floor New York, NY 10041 (212) 208-4101 LIUI ICI P001-MA (Ed. 05 14) critical illness policy 07/08/15 12. LOYAL AMERICAN INSURANCE COMPANY 11200 Lakeline Boulevard, Suite 100 P.O. Box 559004 Austin, TX 78717 (800) 633-6752 LY-LSC-BA-NB-MA cancer only policy 10/06/15 13. THE MANHATTAN LIFE INSURANCE COMPANY 10700 Northwest Freeway Houston, Texas 77092 (800) 669-9030 ML-4000 MA 4/04 specified disease policy 11/19/07 14. MUTUAL OF OMAHA INSURANCE COMPANY Mutual of Omaha Plaza Omaha, NE 68175 (402) 351-2640 Policy#s: CL10-23564 cancer only policy 05/16/11 CHS10-23565 cancer/specified disease policy 05/16/11 CP1-24381 cancer only policy 06/04/15 CP2-24382 specified disease policy 06/04/15 CP4-24384 critical illness policy 06/04/15 6 Kanawha Insurance Company notified the Division on March 18, 2011 that the company is not yet marketing its approved individual specified disease policy in Massachusetts. Page 4 As of October 6, 2015
15. NATIONAL HEALTH INSURANCE COMPANY 800 Gessner, Suite 600 Houston, TX 77024 (713) 935-4800 NHIC-IND-6040-MA cancer only policy 06/04/15 16. NATIONAL TEACHERS ASSOCIATES LIFE INSURANCE COMPANY 4949 Keller Springs Road Addison, TX 75001 (972) 532-2100 GRC-2005-MA (11/11) cancer only policy 09/08/15 17. NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA 7 70 Pine Street New York, NY 10270 (212) 770-7000 SHS40000 cancer only policy 12/22/05 18. TRUSTMARK INSURANCE COMPANY 400 Field Drive Lake Forest, IL 60045 (847) 615-1500 CACIIND-82001P MA CNCR 8 cancer only policy 11/03/04 CACIIND-82001P MA CI 8 critical illness policy 11/03/04 CACIIND-82001P MA CBO 8 specified disease policy 11/03/04 7 8 On August 8, 2007, National Union Fire Insurance Company of Pittsburgh, PA notified the Division that the company has not yet begun its sales and marketing of the above-noted approved plan nor does the company have a timeline to begin marketing in Massachusetts. Trustmark Insurance Company notified the Division on June 20, 2010 that the company has never marketed its approved individual specified disease policy in Massachusetts. Page 5 As of October 6, 2015
19. USABLE LIFE 320 W. Capitol P.O. Box 1650 Little Rock, AR 72203-1650 (800) 648-0271 CEP (3-03) cancer/specified disease policy 05/06/04 CIP2-WC (7-07) MA cancer/specified disease policy 04/05/11 CIP2 (7-07) MA specified disease policy 04/05/11 CIP2-WC-R (7-07) cancer/critical illness policy 01/19/12 CIP2-R (7-07) critical illness policy 01/19/12 20. WASHINGTON NATIONAL INSURANCE COMPANY 11815 N. Pennsylvania Street Carmel, IN 46032 (800) 888-4918 WNIC1068MA critical illness policy 05/05/14 Page 6 As of October 6, 2015