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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.
1354 Cheyenne Ave. 
Enid, OK 73703

Contact: Weston Whitsitt
Phone: 580-402-5303
Fax: 580-233-8193
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.
P.O. Box 25523
Oklahoma City, OK 73125-0523
Contact: Tessa Daniels
Telephone: 405-416-7516
Email: tessa.daniels@americanfidelity.com
American Fidelity Assurance Co.
P.O. Box 25523
Oklahoma City, OK 73125-0523
Contact: Tessa Daniels
Telephone: 405-416-7516
Email: tessa.daniels@americanfidelity.com
Policies: American Fidelity Assurance Co.

American General Life Insurance Company

Payroll Code: AI36
Vendor Remittance Information
Vendor ID: 14083 (address #2)
Product Vendor Access Contact Information
Telephone:      
Payroll Administration: 800-825-4299, option 1     
General Policy Holder Customer Service: 800-231-3655
Fax: 713-620-6816
E-mail: BSG.worksite.escalation@aig.com
Secondary Email: bsg.worksite.payment.backup@aig.com
 

American Heritage Life Insurance Company 

Payroll Code: AI40
Vendor Remittance Information
Vendor ID: 317708
Product Vendor Access Contact Information
American Heritage Insurance Co/DBA Allstate
1776 American Heritage Life Drive
Jacksonville, FL 32224

Contact: Jemes Fennell
Phone: 479-957-5535
Email: james@fennell.com
Versus Benefits
1209 S. Frankfort Ave, Ste 205 
Tulsa, OK 74120

Contact: Susie Brown
Phone: 405-473-8626Fax: 405-500-3105
Email: susie@verusbenefits.com
Policies: American Heritage Insurance Co/DBA Allstate

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 CompanyKemper 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: Jaime Johnson
Telephone: 800-869-0355  ext 4426
Fax: 402-437-3886
E-mail: jjohnson@assurity.com
GITW Benefits (GITW INC)
PO Box 1014
Sandpoint, ID 83864

Contact: David Walker
Telephone: 855.592.4489 (office); 208.659.8431 (cell)
Fax: 888-248-0745
E-mail: david@gitwbenefits.com
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 Live 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
2226 Shadowlake Drive
Oklahoma City, OK 73159

Contact: Tom Nichols
Telephone: 405-207-4160
Fax: 405-300-0690
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
400 Chisholm Place, Suite 304
Plano, Texas, 75075
Contact: Matt Snyder
Telephone:  866) 972-2368

Fax: (972) 578.0414
Email: msnyder@equipointpartners.com
Equipoint Partner,Verus Benefits
400 Chisholm Place, Suite 304
Plano, Texas, 75075
Contact: Susie Brown
Phone: (405) 215-9555
Fax: (405) 500-3105
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: wecrkte@swbell.net
Policies:
Central States of Omaha
Central United Life Insurance Company
Citizens Insurance Company 
EMC National Life
Humana
National Union Fire Insurance Company of PA
Occidental Life Insurance Company
Pre-Paid Legal Casualty, Inc.
Providential Life Insurance Company

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: Cathi Goss
100 N. Broadway
Suite 600
Oklahoma City, OK 73102

Contact: Cathi Goss
Phone: 405-270-1424
Fax: 205-325-1041
Email: cmgoss@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

Transamerica Life Insurance Company

Payroll Code: AI60
Vendor Remittance Information
Vendor ID: 0000317767
Product Vendor Access Contact Information
Transamerica                                            
Attn: Cash Mgmt P55                                            
4333 Edgewood Rd. NE                                            
Cedar Rapids, IA. 52499                                                               Contact:                                    
Telephone: 866-411-4159                                    
Email: tebpremiums@transamerica.com
Thomas Nichols                    
27627 E. County Road 1550                    
Pauls Valley, OK. 73075                                                                   Contact: Thomas Nichols                
Telephone: 405-207-4160                
Fax: 405-300-0690                
Email: tom.nichols@shadowlakebenefits.com
Policies: Transamerica 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
P.O. Box 223355
Pittsburgh, PA 15250-3355

Contact: Kelly Honn
Telephone: 317-817-2686
Fax: 317-817-3846
E-mail: Kelly.Honn@WashingtonNational.com
Washington National Insurance Company
11825 N. Pennsylvania
St.Carmel, IN 46032

Contact: Connie Burgess
Phone: 317-817-4942
Fax: 800-889-4645
Email: Connie.Burgess@WashingtonNational.com
Policies: Washington National

Contact: Austin Cunningham
Phone: 850-933-1689
Email: austin.cunningham@pmagnet.net
Policies: Washington National
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