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VPD Supplemental Insurance

American Family Life Assurance Company (AFLAC)

Payroll Code: AI03
Vendor Remittance Information
Vendor ID: 171740
Product Vendor Access Contact Information
American Family Life Assurance Co.
1932 Wynnton Road
Columbus, GA 31999
ATTN: Barbara Clemmons

Contact: Barbara Clemmons
Telephone: 800-992-3522, ext. 3816 
American Family Life Assurance Co.
1611 N Classen Blvd 
Oklahoma City, OK 73106
Contact: Sheree' Amos
Email: sheree_amos@us.aflac.com
Phone: 806-549-5554
Fax: 405-657-2249
Policies: American Family Life Assurance Co.

American Fidelity Assurance Co.

Payroll Code: AI09
Vendor Remittance Information
Vendor ID: 174410
Product Vendor Access Contact Information
American Fidelity Assurance Co.
9000 Cameron Parkway
Oklahoma City, OK 73114
Contact: Curtis Huntsinger
Telephone: 405-212-2523
Email: Curtis.huntsinger@americanfidelity.com
American Fidelity Assurance Co.
9000 Cameron Parkway
Oklahoma City, OK 73114
Contact: Curtis Huntsinger
Telephone: 405-212-2523
Email: Curtis.huntsinger@americanfidelity.com
Policies: American Fidelity Assurance Co.

American Public Life Insurance Company

Payroll Code: AI05
Vendor Remittance Information
Vendor ID: 191335
Product Vendor Access Contact Information
American Public Life Insurance Co.
PO Box 925
Jackson, MS 39205-0925
ATTN: Debra Pierce, Payroll

Contact: Debra Pierce
Telephone: 800-256-8606, ext. 218
Fax: 601-932-9011
American Public Life Insurance Co.
6303 N. Portland
Suite 402
Oklahoma City, OK 73112

Contact: Matt Grelle
Phone:  405-523-2018
Fax: 405-416-7528
Email: mattgrelle@ampublic.com

American Trustee, Inc.

Payroll Code: AI64
Vendor Remittance Information
Vendor ID: 348758
Product Vendor Access Contact Information
Calibre Benefit Administration
4370 Peachtree Road NE 
Atlanta, GA 30319

Contact: Kathy Morreira
E-mail: kmorreira@bflic.com
Phone: 404-266-5651
American Trustee
PO Box 21422
Oklahoma City, OK 73156

Contact: William Allison
Phone:  405-254-4509
Email: william.allison@americantrusteeinc.com
Policies: Bankers Fidelity Life Insurance Company;
Kemper Benefits

Assurity Life Insurance Company

Payroll Code: AI49
Vendor Remittance Information
Vendor ID: 245015
Product Vendor Access Contact Information
Assurity Life Insurance Company
P.O. Box 82533
Lincoln, NE 68501-2533

Contact: Andrea Epke
Telephone: 800-869-0355  ext 3474
Fax: 402-437-3886
E-mail: aepke@assurity.com
Assurity Life Insurance Company
P.O. Box 82533
Lincoln, NE 68501-2533
Telephone: 800-869-0355 ext 4423
Fax: 402-437-3886
Policies: Assurity Life Insurance CompanySecurity Financial Life

Colonial Life & Accident Insurance Company

Payroll Code: AI02
Vendor Remittance Information
Vendor ID: 192374
Product Vendor Access Contact Information
Colonial Life & Accident Insurance Company
1200 Colonial Life Blvd.
Mailstop SC 163
Columbia, NC 29202

Contact: Toni McGill, Billing Coordinator
Telephone: 800-256-7004
Fax: 800-561-3082
E-mail: tmcgillswbilling@coloniallife.com
Colonial Life & Accident Insurance Company
3100 S. Berry
Norman, OK 73072

Contact: Tom Nichols
Telephone: 405-207-4160
Fax: 800-561-3082
E-mail: tom.nichols@coloniallifesales.com
Policies: Colonial Life & Accident Insurance Company

Equipoint Partners/DBA Pre Med Defender

Payroll Code: AI68
Vendor Remittance Information
Vendor ID: 494241
Product Vendor Access Contact Information
PreMed Defender Offered by Equipoint
Attn: Matt Snyder
2530 Eldorado Pkwy, Ste. 210
McKinney, TX 75070-4399
Contact: Matt Snyder
Telephone:  866-972-2368
Fax: 972-578-0414Email: msnyder@equipointpartners.com
 
Verus Benefits
1209 S. Frankfort Ave, Ste 205 
Tulsa, OK 74120
Contact: James Ashford
Email: james@verusbenefits.com
Phone: 918-212-4823; 918-695-3080 
Policies: Pre Med Defender Group Supplemental Benefit

LegalShield

Payroll Code: AI24
Vendor Remittance Information
Vendor ID: 176618
Product Vendor Access Contact Information
Pre-Paid Legal Casualty, Inc.
One Pre-Paid Way
Ada, OK 74820-5813

Contact: DeAnna Law, Legal Shield, Group Services Department, New Accounts Division
Telephone: 580-421-6326
Fax: 580-421-6311
E-mail: DeAnnalaw@pplsi.com

Pre-Paid Legal Casualty, Inc.
One Pre-Paid Way
Ada, OK 74820-5813
Contact: Ronald Kite
Phone: (918) 747-9803
Email: wecrkite@icloud.com
Policies: Pre-Paid Legal Casualty, Inc.

Liberty National Life Insurance Company

Payroll Code: AI56
Vendor Remittance Information
Vendor ID: 299194
Product Vendor Access Contact Information
Liberty National Life Insurance Company
Attn: Jennifer Thompson
100 N. Broadway
Suite 1900
Oklahoma City, OK 73102

Contact: Jennifer Thompson
Phone: 405-270-1158; 866-441-3018
Fax: 205-325-1041
Email: jrthompson@globe.life
Liberty National Life Insurance Company
Attn: Jason Everett or Catrina Fuentes
The Everett Agencies
8221 Ranch Blvd.
Little Rock, AR 72223

Contact: Jason Everett or Catrina Fuentes
Phone: 501-225-5556
Policies: Liberty National Life Insurance Company

Manhattan Life Assurance Company of America   

Payroll Code: AI69
Vendor Remittance Information
Vendor ID: 0000508216
Product Vendor Access Contact Information
10777 Northwest Freeway                                            
Houston, Texas 77092                                            
713-821-6487                                            
713-821-6462                                                                                   Contact: Candice Barber                                   
Telephone: 800-752-3419                                   
Email: candice@cbenefits.com
8592 Cordes Circle                    
Germantown, TN. 38139                                                                                                    
Contact: Candice Barber                
Telephone: 901-482-8868                
Fax: 901-759-0773                
Email: candice@cbenefits.com
Policies: Manhattan Life Assurance Company of America

National Teachers Associates Life Insurance Company

National Teachers Associates Life Insurance Company

Payroll Code: AI13
Vendor Remittance Information
Vendor ID: 240220
Product Vendor Access Contact Information
National Teachers Associates Life Insurance Company
PO Box 2429
Addison, TX 75001-2429

Contact: Judy Shipley
Telephone: 972-532-2138
Fax: 972-532-2197
E-mail: judy.shipley@ntalife.com
National Teachers Associates Life Insurance Company
PO Box 802207
Dallas, TX 75380-2207

Contact: Jim Cothron
Telephone: 888-671-6771
Fax: 972-532-2180
E-mail: admin@ntalife.com
Policies: National Teachers Associates Life Insurance Company

Washington National Insurance Company (formerly Conseco Health Insurance Company)

Payroll Code: AI06
Vendor Remittance Information
Vendor ID: 16979 (address #3)
Product Vendor Access Contact Information
Washington National Insurance Company
11825 N Pennsylvania Street K 1 P
Carmel, IN 46032

Contact: Scott Willaard
Telephone: 317-817-5937
Fax: 317-817-2169
E-mail: scot.willard@pmausa.net
Washington National Insurance Company
11825 N. Pennsylvania
St.Carmel, IN 46032

Contact: David Golding
Phone: 317-817-6042
Fax: 800-889-4645
Email: david.golding@washingtonnational.com
Policies: Washington National


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