Office of Personnel Management - Insurance Policies

SUPPLEMENTAL INSURANCE (BILLING UNITS)

5 Star Life Insurance Company

Payroll Code: AI42 VENDOR REMITTANCE INFORMATION	Vendor ID: 217634 PRODUCT VENDOR ACCESS CONTACT INFORMATION
5 Star Life Insurance Company 421 South 9th Street Suite 222 Lincoln, NE 68508 Contact: Echo Nelson Telephone: 866-863-9753, Fax: 402-479-0153 E-mail: echo.nelson@ps.net	5 Star Life Insurance Company 14321 Delwood Dr. Urbandale, IA 50323 Contact: B.J. Spyksma Telephone: 515-419-2745 Fax: 563-652-9736 E-mail: bspyksma@mac.com Policies: 5 Star Life Insurance Company

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 Fax: E-mail:	American Family Life Assurance Co. 2525 NW Expressway, Suite 409 Oklahoma City, OK 73112 Contact: Robert Kirkpatrick Telephone: 405-848-1600 Fax: 405-843-2300 E-mail: aflacokc@earthlink.net Policies: American Family Life Assurance Company

American General Life Insurance Company

Payroll Code: AI36 VENDOR REMITTANCE INFORMATION	Vendor ID: 14083 (address #2) PRODUCT VENDOR ACCESS CONTACT INFORMATION
Payment Processing Center PO Box 0819 Carol Stream, IL 60132-0819 Contact: Kimberlee Ross, Billing Specialist Telephone: 800-231-3655 (Customer Service) 713-831-3918 (Customer Service/Direct) Fax: 713-831-3929 E-mail: Kimberlee_Ross@aigag.com	Tom J. Alley Insurance and Investment Resources 320 S Boston, Suite 808 Tulsa, OK 74103 Contact: Tom J. Alley, LUTCF, CLF Telephone: 918-585-2223 Fax: 918-291-2000, 866-359-1610 (toll free fax) E-mail: talley@agsecurities.com Policies: American General Life Insurance Company

American HeritageLife Insurance

Payroll Code: AI40 VENDOR REMITTANCE INFORMATION	Vendor ID: 205874 PRODUCT VENDOR ACCESS CONTACT INFORMATION
American Heritage Life Insurance 1776 American Heritage Life Drive Jacksonville, FL 32224 Contact: Cheryllynn Baustia Telephone: 904-992-2541 Fax: E-mail: Cheryllynn.bautista@ahlcorp.com	Christopher (Chris) Ayres American Heritage Life Insurance PO Box 1396 Minden, LA 71058 Contact: Christopher (Chris) Ayres Telephone: 318-382-4902 Fax: 318-382-4802 E-mail: nsb@nbsinfo.net Policies: American Heritage Life Insurance

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: Doug Johnson Telephone: 800-256-8606, ext. 218 Fax: 601-932-9011 E-mail: djohnson@ampublic.com	American Public Life Insurance Co. PO Box 925 Jackson, MS 39205-0925 Contact: Ruby Shoemake Telephone: 601-932-3240 Fax: 601-932-9011 E-mail: rshoemake@ampublic.com Policies: American Public Life Insurance Company

Assurity Life Insurance Company

Payroll Code: AI49 VENDOR REMITTANCE INFORMATION	Vendor ID: 245015 PRODUCT VENDOR ACCESS CONTACT INFORMATION
Assurity Life Insurance Company PO Box 957494 St. Louis, MO 63195-7494 Contact: Kathy Foust Telephone: 402-437-4390 Fax: E-mail: KFoust@assurity.com	George Gehringer Assurity Life Insurance Company 17310 Wright Street, Suite 200 Omaha, NE 68130 Contact: George Gehringer Telephone: 402-614-6440 Fax: E-mail: Ggehringer@gfinsusa.com Policies: Assurity Life Insurance Company Security Financial Life

Columbian Life Insurance Company

Payroll Code: AI50 VENDOR REMITTANCE INFORMATION	Vendor ID: 254970 PRODUCT VENDOR ACCESS CONTACT INFORMATION
Kanawha Healthcare Solutions, Inc. ATTN: Bernard Elmore PO Box 5000 Lancaster, SC 29721-5000 Contact: Tracy Funk Telephone: 888-273-9883, x4261 Fax: 888-233-6881 E-mail: tfunk@uniqgroup.com	William Allison Crow, Allison & Associates PO Box 1722, 108 N Pecan Searcy, AR 72145 Contact: William Allison Telephone: 501-230-0455 Fax: 501-268-5080 E-mail: william@crowallison.com Policies: Columbian Life Insurance Company

Conseco HealthInsurance Company

Payroll Code: AI06 VENDOR REMITTANCE INFORMATION	Vendor ID: 16979 (address #3) PRODUCT VENDOR ACCESS CONTACT INFORMATION
Conseco Health Insurance Company PO Box 223355 Pittsburg, PA 15251-2355 Contact: Joan Chrisman Telephone: 800-458-9094, ext. 4815 Fax: 317-817-2064 E-mail:	Conseco Health Insurance Company 2531 South FM 2869 Hawkins, TX 75765 Contact: Amorette Burch Telephone: 800-628-6428, ext. 7459 or 903-227-1749 (cell) Fax: 866-741-2566 E-mail: amorette@dpcomm.net Policies: Conseco Health Insurance Company

GuaranteeTrust Life Insurance Company

Payroll Code: AI55 VENDOR REMITTANCE INFORMATION	Vendor ID: 245073 PRODUCT VENDOR ACCESS CONTACT INFORMATION
Guarantee Trust Life Insurance Company 1275 Milwaukee Avenue Glenview, IL 60025-2489 Contact: Telephone: 847-699-0600 Fax: E-mail:	Janet High 137 Main Street, Suite 400 Dubuque, IA 52001 Contact: Janet High Telephone: 1-800-765-1454 Fax: 1-563-557-9180 E-mail: jhigh@pltnm.com Policies: Guarantee Trust Life Insurance Company

Insurance Network Agency, Inc.

Payroll Code: AI54 VENDOR REMITTANCE INFORMATION	Vendor ID: 280646 PRODUCT VENDOR ACCESS CONTACT INFORMATION
4835 South Fulton Suite 101 Tulsa, OK 74135 Contact: Loren Thetford Telephone: 918-743-0300 or 800-728-1502 Fax: 918-743-3939 E-mail: lt@inaok.com	4835 South Fulton Suite 101 Tulsa, OK 74135 Contact: Loren Thetford Telephone: 918-743-0300 or 800-728-1502 Fax: 918-743-3939 E-mail: lt@inaok.com Policies: 5 Star Life Insurance Company EMC National Life American Heritage Life Insurance Company Great American Life Insurance Company MedAmerica Insurance Company

Leaders Life Insurance Company

Payroll Code: AI29 VENDOR REMITTANCE INFORMATION	Vendor ID: 59211 (address #2) PRODUCT VENDOR ACCESS CONTACT INFORMATION
Leaders Life Insurance Company PO Box 35768 Tulsa, OK 74153 Contact: Greg Blood, Billing Manager Telephone: 800-725-5433 Fax: 918-252-1441 E-mail:	Leaders Life Insurance Company 6303 North Portland, Suite 201 Oklahoma City, OK 73112 Contact: Nancy Noble Telephone: 405-946-6993 Fax: E-mail: Policies: Leaders 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

Pre-Paid Legal Casualty, Inc.

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: Sara Graham Telephone: 580-421-6341 Fax: E-mail: saragraham@pplsi.com	Pre-Paid Legal Casualty, Inc. One Pre-Paid Way Ada, OK 74820-5813 Contact: Sara Graham Telephone: 580-421-6341 Fax: E-mail: saragraham@pplsi.com Policies: Central States of Omaha Citizens Insurance Company EMC National Life National Union Fire Insurance Company of PA Occidental Life Insurance Company Pre-Paid Legal Casualty, Inc Providential Life Insurance Company