Individual Accident Only Insurance Policies That Meet The Requirements Of Massachusetts' Regulation 211 CMR 42.00
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| American Family Life Assurance Company Of Columbus 1932 Wynnton Road Columbus, GA 31999 (800) 992-3522 | ||||
| Policy #: | Approval Date: | |||
| A-33000-MA 1 A-34100-MA A-34200-MA A-34300-MA A-34400-MA A35B24MA A35100MA A35200MA A35BOFMA A35300MA A35400MA | accidental death and dismemberment policy accidental death and dismemberment policy accidental death and dismemberment policy accidental death and dismemberment policy accidental death and dismemberment policy accidental only policy accidental only policy accidental only policy accidental only policy accidental only policy accidental only policy | 04/25/00 09/26/03 09/26/03 09/26/03 09/26/03 12/20/10 12/20/10 12/20/10 12/20/10 12/20/10 12/20/10 | ||
| American Family Life Assurance Company Of New York One Marcus Boulevard Albany, New York, 12205 (800) 366-3436 | ||||
| Policy #: | Approval Date: | |||
| NY-32000MA 2 NY-33000MA 2 NY-33100MA 3 | accidental death and dismemberment policy accidental death and dismemberment policy accidental death and dismemberment policy | 11/03/95 3/02/99 3/02/99 | ||
| American Fidelity Assurance Company 2000 N. Classen Blvd Oklahoma, City, Oklahoma (800) 437-1011 | ||||
| Policy #: | Approval Date: | |||
| AO-01 (MA) | accident only policy | 09/25/08 | ||
| American Heritage Life Insurance Company 1776 American Heritage Drive Jacksonville, FL 32224 (800) 521-3535 | ||||
| Policy #: | Approval Date: | |||
| AP3MAN AP2MAN | accidental injury policy accidental injury policy | 6/24/99 1/25/05 | ||
| American Network Insurance Company 4 AON Select Company 110 Gibraltar Road, Suite #116 Horsham, PA 19044 (800) 343-3133 | ||||
| Policy #: | Approval Date: | |||
| AO-87-MA | accidental injury policy | 8/01/89 | ||
| Assurity Life Insurance Company 1526 K Street Lincoln, NE 68501-2533 (800) 627-7212 | ||||
| Policy #: | Approval Date: | |||
| AAW-A117 MA W A 200 MA W A 205 MA | accident only policy 5 accidental only policy accidental only policy | 04/22/03 04/22/09 04/22/09 | ||
| Bankers Life & Casualty Company 222 Merchandise Mart Plaza Chicago, IL 60654-2001 (312) 396-6000 | ||||
| Policy #: | Approval Date: | |||
| GR-771-PL | accidental injury/death policy | 10/22/85 | ||
| Boston Mutual Life Insurance Company 120 Royall Street Canton, MA 02021-9968 (800) 669-2668 | ||||
| Policy #: | Approval Date: | |||
| WIND-ACC 11/05 MA | accidental only policy | 11/13/06 | ||
| The Chesapeake Life Insurance Company 9151 Boulevard 26 North Richland Hills, TX 76180 (817) 255-3100 | ||||
| Policy #: | Approval Date: | |||
| 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 | ||
| Colonial Life & Accident Insurance Company 1200 Colonial Life Boulevard P.O. Box 1365 Columbia, SC 29202 (800) 325-4368 | ||||
| Policy #: | Approval Date: | |||
| ACCH-MA 6 ACCPOL-MA Accident 10.-HS-MA Accident 1.0-NS-MA | accidental injury policy accidental injury policy accidental only policy accidental only policy | 9/08/97 4/25/03 11/16/10 11/16/10 | ||
| Combined Insurance Company Of America 5050 Broadway Chicago, IL 60640 (800) 225-4500 | ||||
| Policy #: | Approval Date: | |||
| 11885 7 11761-MA 8 11789-MA 8 11617-MA 8 11780R-MA 9 11698-MA 10 11697-MA 11 11806-MA 11 14000-MA 11795-MA 12 10192-MA 13 10212-MA 14030-MA | accidental hospital indemnity policy accidental disability income policy accidental injury policy accidental injury policy accidental death policy accidental injury policy accidental injury policy accidental injury policy (accidental injury policy accidental death and dismemberment policy accident only policy accidental death policy accident only policy | 3/16/83 10/18/94 5/20/96 3/28/97 3/28/97 10/06/97 10/09/97 11/13/97 4/21/98 6/12/98 6/27/03 11/24/03 02/27/06 | ||
| Family Life Insurance Company 10700 Northwest Freeway Houston, TX 77092 (800) 877-7705 | ||||
| Policy #: | Approval Date: | |||
| FLEAP-11-MA | accident only policy | 02/16/12 | ||
| Globe Life And Accident Insurance Company Globe Life Center Oklahoma City, OK 73184 (972) 540-6542 | ||||
| Policy #: | Approval Date: | |||
| GLADDP | accidental death and dismemberment policy | 06/04/04 | ||
| Illinois Mutual Life Insurance Company 300 S. W. Adams St Peoria, IL 61634 (800) 437-7355 x 304 | ||||
| Policy #: | Approval Date: | |||
| WSA07 (MA) | accidental only policy | 03/13/08 | ||
| Loyal American Life Insurance Company 525 Vine Street P.O. Box 5418 Cincinnati, OH 45201-5418 (800) 633-6752 | ||||
| Policy #: | Approval Date: | |||
| L-5031-20 14 | accidental injury policy | 11/19/98 | ||
| Merit Life Insurance Company 601 NW Second Street P.O. Box 39 Evansville, IN 47701-0039 (800) 325-2147 | ||||
| Policy #: | Approval Date: | |||
| MLI-110 MA (2008) 15 | accidental death and dismemberment policy | 04/09/08 | ||
| Monumental Life Insurance Company 16 Administrative office: P.O. Box 95308 Hurst, Texas 76053 (800) 845-1400-3695 | ||||
| Policy #: | Approval Date: | |||
| NH-155-790 MA 17 | accidental hospital benefit policy | 10/18/96 | ||
| National Union Fire Insurance Company of Pittsburgh, PA 503 Carr Road, 3rd Floor Wilmington, DE 19809 (888) 396-5369 | ||||
| Policy #: | Approval Date: | |||
| A30329NUFIC-MA | accident only policy | 12/28/11 | ||
| Occidental Life Insurance Company Of North Carolina P.O. Box 2595 Waco, Texas 76702-2595 (254) 297-2775 | ||||
| Policy #: | Approval Date: | |||
| OL02-MA-9428 18 | accidental death and dismemberment policy | 10/21/03 | ||
| Provident Life And Accident Insurance Company One Fountain Square Chattanooga, TN 37402 (800) 633-7490 | ||||
| Policy #: | Approval Date: | |||
| 475 NC L-21762 | accident only disability income policy accident only disability income policy | 6/18/98 4/09/04 | ||
| Starmount Life Insurance Company 7800 Office Part Boulevard Baton Rouge, LA 70896-9100 (888) 729-5433 | ||||
Policy #: | Approval Date: | |||
02-003-MA | accidental death policy | 9/24/09 | ||
| Stonebridge Life Insurance Company 3 2700 West Plano Parkway Plano, TX 75075-8200 (800) 628-1211 | ||||
| Policy #: | Approval Date: | |||
| 475 NC D456RMA | accidental death and dismemberment policy | 11/17/00 | ||
| Zurich Insurance Company 1400 American Lane Schaumburg, IL 60196-1056 (888) 889-5330 | ||||
| Policy #: | Approval Date: | |||
| U-AI-218-A MA U-AI-219-A MA | accidental death and dismemberment policy accidental death and dismemberment policy | 10/08/97 10/08/97 | ||
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.
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.
6 Effective June 30, 2010 Colonial Life Insurance Company ceased offering its approved individual accident only policy in Massachusetts.
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.
14 Effective June 1, 2008 Loyal American Life Insurance Company notified the Division that it ceased marketing its approved individual accident only policy in Massachusetts.
15 Effective June 1, 2009 Merit Life Insurance Company notified the Division that it ceased offering its approved individual accident only policy in Massachusetts.
16 Effective 10/01/98 Providian Life and Health Insurance Company changed its name to Peoples Benefit Life Insurance Company. Effective October 1, 2007, Peoples Benefit Life Insurance Company merged into Monumental Life Insurance Company.
17 The noted form was previously approved under the Peoples Benefit license.
18 Occidental Life Insurance Company of North Carolina notified the Division that it has not offered its approved individual accident only policy in Massachusetts.
19 Effective May 17, 2002, J.C. Penney Life Insurance Company changed its name to Stonebridge Life Insurance Company.