Company Profile
Company Information

PROVIDENT AMERICAN LIFE & HEALTH INSURANCE COMPANY
11200 LAKELINE BLVD STE 100
AUSTIN,   TX 78717-6050
800-525-7268


Old Company Names                                                             Effective Date

UNION BENEFIT LIFE INSURANCE COMPANY 1996-11-19

Agent For Service

AMANDA GARCIA
330 N Brand Blvd Ste 700
Glendale     CA   91203


Reference Information

NAIC #: 67903
California Company ID #: 3025-4
Date Authorized in California: 1985-11-22
License Status: CEASE & DESIST
Company Type: LIFE-DISABILITY
State of Domicile: OHIO

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NAIC Group List

NAIC Group #: 0901   CIGNA HLTH GRP

Lines Of Business

The company is authorized to transact business within these lines of insurance.
For an explanation of any of these terms, please refer to the glossary.
  DISABILITY
  LIFE
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