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picture1_Business Regulation Pdf 44568 | Indacc


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File: Business Regulation Pdf 44568 | Indacc
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 ...

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                                                              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                                                                                                                                    JAY ASH 
                    GOVERNOR                                                                                                                             SECRETARY OF HOUSING AND 
                                                                                                                                                          ECONOMIC DEVELOPMENT 
              
               KARYN E. POLITO                                                                                                                            JOHN C. CHAPMAN 
              LIEUTENANT GOVERNOR                                                                                                                   UNDERSECRETARY OF CONSUMER AFFAIRS 
                                                                                                                                                          AND BUSINESS REGULATION 
              
                                                                                                                                                             GARY D. ANDERSON 
                                                                                                                                                       ACTING COMMISSIONER OF INSURANCE 
              
                                          INDIVIDUAL ACCIDENT ONLY INSURANCE POLICIES  
                                                            THAT MEET THE REQUIREMENTS OF  
                                                 MASSACHUSETTS’ REGULATION 211 CMR 42.00 
                                                                                                        
                         Company Name                                                                                                                     Approval Date 
              
              1.         AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS 
                         1932 Wynnton Road 
                         Columbus, GA  31999 
                         (800) 992-3522 
                         Policy #s: 
                         A-33000-MA 1                                    accidental death and dismemberment policy                                             04/25/00 
                         A-34100-MA                                      accidental death and dismemberment policy                                             09/26/03 
                         A-34200-MA                                      accidental death and dismemberment policy                                             09/26/03 
                         A-34300-MA                                      accidental death and dismemberment policy                                             09/26/03 
                         A-34400-MA                                      accidental death and dismemberment policy                                             09/26/03 
                         A35B24MA                                        accident only policy                                                                  12/20/10 
                         A35100MA                                        accident only policy                                                                  12/20/10 
                         A35200MA                                        accident only policy                                                                  12/20/10 
                         A35BOFMA                                        accident only policy                                                                  12/20/10 
                         A35300MA                                        accident only policy                                                                  12/20/10 
                         A35400MA                                        accident only policy                                                                  12/20/10 
                         A36000MA                                        accident-only policy                                                                  01/26/16 
                         A36500MA                                        accident-only policy                                                                  01/26/16 
              
              2.         AMERICAN FAMILY LIFE ASSURANCE COMPANY OF NEW YORK 
                         One Marcus Boulevard 
                         Albany, New York, 12205 
                         (800) 366-3436 
                         Policy #s: 
                         NY-32000MA 2                                    accidental death and dismemberment policy                                             11/03/95 
                         NY-33000MA 2                                    accidental death and dismemberment policy                                             03/02/99 
                         NY-33100MA 3                                    accidental death and dismemberment policy                                             03/02/99
                                                              
             1
                   Effective  April  12,  2004  American  Family  Life  Assurance  Company  of  Columbus  ceased  offering  its  approved  individual  
                   accident only policy in Massachusetts. 
             2
                   American Family Life Assurance Company of New York notified the Division that it has not marketed its approved individual 
                   accident only policy in Massachusetts. 
                                                                                         Page 1                                                  As of October 3, 2017 
                                INDIVIDUAL ACCIDENT ONLY INSURANCE POLICIES 
                                                                                
                   Company Name                                                                                      Approval Date 
                                                                                
          3.       AMERICAN FIDELITY ASSURANCE COMPANY 
                   2000  N. Classen Blvd 
                   Oklahoma, City, Oklahoma 
                   (800) 437-1011 
                   Policy #s: 
                   AO-03 (MA)                           accident only policy                                              09/25/08 
           
          4.       AMERICAN HERITAGE LIFE INSURANCE COMPANY 
                   1776 American Heritage Drive 
                   Jacksonville, FL 32224 
                   (800) 521-3535 
                   Policy #s: 
                   AP3MAN                               accidental injury policy                                          06/24/99 
                   AP2MAN                               accidental injury policy                                          01/25/05 
           
          5.       AMERICAN NETWORK INSURANCE COMPANY 4 
                   AON Select Company 
                   110 Gibraltar Road 
                   Suite #116 
                   Horsham, PA 19044 
                   (800) 343-3133 
                   Policy #s: 
                   AO-87-MA                             accidental injury policy                                          08/01/89 
           
          6.       ASSURITY LIFE INSURANCE COMPANY 
                   1526 K Street 
                   Lincoln, NE 68501-2533 
                   (800) 627-7212 
                   Policy #s: 
                   AAW-A117 MA 5                        accidental only policy                                            04/22/03 
                   W A 200 (MA)                         accidental only policy                                            04/22/09 
                   W A 205 (MA)                         accidental only policy                                            04/22/09 
                   W H1101 (MA)                         accidental only policy                                            10/22/14 
                   W H1102 (MA)                         accidental only policy                                            10/22/14 
                                                                                                                                                                                               
          3
              Effective January 14, 2002 American Family Life Assurance Company of New York ceased offering its approved individual 
              accident only policy in Massachusetts. 
          4
              Effective January 6, 2009 American Network Insurance Company was placed in rehabilitation per order of the Pennsylvania 
              Insurance  Commissioner  and  the  company  is  not  longer  marketing  the  approved  individual  accident  only  policies  in 
              Massachusetts. 
          5
              Effective  May  1,  2009  Assurity  Life  Insurance  Company  ceased  offering  its  approved  individual  accident  only  policy  in 
              Massachusetts. 
           
                                                                      Page 2                                 As of October 3, 2017 
           
                                INDIVIDUAL ACCIDENT ONLY INSURANCE POLICIES 
                                                                                 
                   Company Name                                                                                        Approval Date 
                                                                                 
          7.       BANKERS LIFE AND CASUALTY COMPANY 
                   222 Merchandise Mart Plaza 
                   Chicago, IL 60654-2001 
                   (312) 396-6000 
                   Policy #s: 
                   GR-771-PL                             accidental injury/death policy                                    10/22/85 
           
          8.       BOSTON MUTUAL LIFE INSURANCE COMPANY 
                   120 Royall Street 
                   Canton, MA 02021-9968 
                   (800) 669-2668 
                   Policy #s: 
                   WIND-ACC 11/05 MA                     accidental only policy                                            11/13/06 
           
          9.       THE CHESAPEAKE LIFE INSURANCE COMPANY 
                   9151 Boulevard 26 
                   North Richland Hills, TX 76180 
                   (817) 255-3100 
                   Policy #s: 
                   CH-26114-IP (01/10) MA                accidental disability income policy                               05/13/11 
                   CH-26110-IP (06/09) MA                accidental injury policy                                          05/13/11 
           
          10.      COLONIAL LIFE & ACCIDENT INSURANCE COMPANY 
                   1200 Colonial Life Boulevard 
                   P.O. Box 1365 
                   Columbia, SC 29202 
                   (800) 325-4368 
                   Policy #s: 
                   ACCH-MA 6                             accidental injury policy                                          09/08/97 
                   ACCPOL-MA                             accidental injury policy                                          04/25/03 
                   Accident 10.-HS-MA                    accidental only policy                                            11/16/10 
                   Accident 1.0-NS-MA                    accidental only policy                                            11/16/10 
                                                           
          6
               Effective  June  30,  2010  Colonial  Life  Insurance  Company  ceased  offering  its  approved  individual  accident  only  policy  in 
               Massachusetts. 
           
                                                                       Page 3                                 As of October 3, 2017 
           
                               INDIVIDUAL ACCIDENT ONLY INSURANCE POLICIES 
                                                                              
                   Company Name                                                                                   Approval Date 
                                                                              
         11.       COMBINED INSURANCE COMPANY OF AMERICA 
                   5050 Broadway 
                   Chicago, IL 60640 
                   (800) 225-4500 
                   Policy #s: 
                   11885 7                             accidental hospital indemnity policy                            03/16/83 
                   11761-MA 8                          accidental disability income policy                             10/18/94 
                   11789-MA 8                          accidental injury policy                                        05/20/96 
                   11617-MA 8                          accidental injury policy                                        03/28/97 
                   11780R-MA 9                         accidental death policy                                         03/28/97 
                   11698-MA 10                         accidental injury policy                                        10/06/97 
                   11697-MA 11                         accidental injury policy                                        10/09/97 
                                 11
                   11806-MA                            accidental injury policy                                        11/13/97 
                   14000-MA                            accidental injury policy                                        04/21/98 
                   11795-MA 12                         accidental death and dismemberment policy                       06/12/98 
                   10192-MA 13                         accident only policy                                            06/27/03 
                   10212-MA                            accidental death policy                                         11/24/03 
                   14030-MA                            accident only policy                                            02/27/06 
                   14144-MA                            accidental disability income policy                             01/28/15 
                   14150R-MA                           accident only policy                                            08/21/15 
                   14138-MA                            accidental disability income policy                             03/01/16 
          
         12.       FAMILY LIFE INSURANCE COMPANY 
                   10700 Northwest Freeway 
                   Houston, TX 77092 
                   (800) 877-7705 
                   Policy #s: 
                   FLEAP-11-MA                         accidental injury policy                                        02/16/12 
                                                          
         7
              Effective April 18, 2000 Combined Insurance Company of America ceased offering its accident only policy in Massachusetts. 
         8
              Combined Insurance Company of America notified the Division that it has not marketed its approved individual accident only 
              policy in Massachusetts. 
         9
              Effective January 14, 2000 Combined Insurance Company of America ceased offering its approved individual accident only 
              policy in Massachusetts. 
         10   Effective April 2, 2002 Combined Insurance Company of America ceased offering its approved individual accident only policy 
              in Massachusetts. 
         11   Effective February 27, 2004 Combined Insurance Company of America ceased offering its approved  individual accident only 
              policy in Massachusetts. 
         12   Effective May 1, 2005 Combined Insurance Company of America ceased offering its approved individual accident only policy in 
              Massachusetts. 
         13   Effective May 6, 2009 Combined Insurance Company of America ceased offering its approved individual accident only policy in 
              Massachusetts. 
          
                                                                    Page 4                                As of October 3, 2017 
          
The words contained in this file might help you see if this file matches what you are looking for:

...Commonwealth of massachusetts office consumer affairs and business regulation division insurance washington street suite boston ma toll free http www mass gov doi charles d baker jay ash governor secretary housing economic development karyn e polito john c chapman lieutenant undersecretary gary anderson acting commissioner individual accident only policies that meet the requirements cmr company name approval date american family life assurance columbus wynnton road ga policy s a accidental death dismemberment abma ama abofma new york one marcus boulevard albany ny effective april ceased offering its approved in notified it has not marketed page as october fidelity n classen blvd oklahoma city ao heritage drive jacksonville fl apman injury network aon select gibraltar horsham pa assurity k lincoln ne aaw w h january was placed rehabilitation per order pennsylvania is long...

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