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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
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