Supplemental Insurance Companies

Payroll Code: AI03
Vendor Remittance Information

Regular Mail
AFLAC Traditional & Direct
P.O. Box 673025
Dallas, TX  75267

Overnight
PNC Bank
c/o Aflac Traditional &Direct
Lockbox No. 673025
1200 East Campbell Rd.
Suite 108
Richardson, TX  75081

Vendor ID: 171740
Product Vendor Access Contact

American Family Life Assurance Co.
6430 N. Western Ave.
Oklahoma City, OK 73116
Contact: Sheree' Amos; Email
Phone: 806-549-5554
Fax: 405-310-7504
Policies: American Family Life Assurance Co.

Payroll Code: AI09
Vendor Remittance Information

American Fidelity Assurance Co.
9000 Cameron Parkway
Oklahoma City, OK 73114
Contact: Curtis Huntsinger; Email
Telephone: 405-212-2523

Vendor ID: 174410
Product Vendor Access Contact Information

American Fidelity Assurance Co.
9000 Cameron Parkway
Oklahoma City, OK 73114
Contact: Curtis Huntsinger; Email
Telephone: 405-212-2523
Policies: American Fidelity Assurance Co.

Payroll Code: AI05
Vendor Remittance Claim Information

American Public Life Insurance Co.
PO Box 248950
Oklahoma City, OK 73124
ATTN: Debra Pierce, Payroll
Contact: Debra Pierce
Telephone: 800-256-8606, ext. 218
Fax: 601-932-9011

Vendor ID: 174410
Product Vendor Access Contact Information

American Public Life Insurance Co.
Department 1613
P.O. Box 11407
Birmingham, Alabama 35246

Payroll Code: AI64
Vendor Remittance Information

Calibre Benefit Administration
4370 Peachtree Road NE 
Atlanta, GA 30319
Contact: Kathy Morreira; Email
Phone: 404-266-5651

Vendor ID: 348758
Product Vendor Access Contact Information

American Trustee
PO Box 21422
Oklahoma City, OK 73156
Contact: William Allison
Phone:  405-254-4509
Email
Policies: Bankers Fidelity Life Insurance Company

Payroll Code: AI49
Vendor Remittance Information

Assurity Life Insurance Company
P.O. Box 82533
Lincoln, NE 68501-2533
Contact: Andrea Epke; Email
Telephone: 800-869-0355  ext 3474
Fax: 402-437-3886

Vendor ID: 245015
Product Vendor Access Contact Information

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 Company; Security Financial Life

Payroll Code: AI02
Vendor Remittance Information

Colonial Life & Accident Insurance Company
1200 Colonial Life Blvd.
Mailstop SC 163
Columbia, SC 29202
Contact: Tori McGill, Billing Coordinator
E-mail
Telephone: 800-256-7004
Fax: 800-561-3082

Vendor ID: 192374
Product Vendor Access Contact Information

Colonial Life & Accident Insurance Company
4000 Quail Spring Pkwy, Suite 5750 Oklahoma City, OK 73134
Contact: Brannon Sward; Email
Telephone: 405-491-3138
Fax: 800-561-3082
Policies: Colonial Life & Accident Insurance Company

Payroll Code: AI69
Vendor Remittance Information

Mail:
Combined Insurance Company of America
5277 Paysphere Circle
Chicago, IL 60674-0052
Contact:  Marilu Alejandre
Phone: 872-304-6369 
E-mail:  billing@combined.com

Overnight Mail:
Combined Insurance Company of America
Lockbox #5277
540 W. Madison, 4th Floor
Chicago, IL. 60661

Vendor ID: 618141
Product Vendor Access Contact Information

Combined Insurance Company of America
P.O. Box 428
Noble, OK. 73068
Contact:  Kasey Sellers
Phone: (405) 609-0051
E-mail:  Kasey.Sellers@ia.combined.com
Policies: Combined Insurance Company of America

Payroll Code: AI68
Vendor Remittance Information

PreMed Defender Offered by Equipoint
Attn: Jennifer Oursler
P.O. Box 193
Marlton, NJ 08053
Contact: Jennifer Oursler; Email
Telephone: 866-972-2368, ext. 114

Vendor ID: 494241
Product Vendor Access Contact Information

Verus Benefits
1209 S. Frankfort Ave, Ste 205 
Tulsa, OK 74120
Contact: Joe Brining; Email
Phone: 405-615-6996 
Policies: Pre Med Defender Group Supplemental Benefit

Payroll Code: AI24
Vendor Remittance 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
Email

Vendor ID: 176618
Product Vendor Access Contact Information

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

Payroll Code: AI56
Vendor Remittance Information

GlobeLife-Liberty National Division
Attn: Shawna Denarvaez
100 N. Broadway
Suite 1900
Oklahoma City, OK 73102
Contact: Shawna Denarvaez; Email
Phone: 479-717-2860
Fax: 205-325-1041

Vendor ID: 299194
Product Vendor Access Contact Information

Globe Life-Liberty Division
1700 W. Industrial Drive, Suite D2
Rogers, AR 72756
Policies: Liberty National Life Insurance Company

Payroll Code: AI69
Vendor Remittance Information

10777 Northwest Freeway
Houston, Texas 77092
713-821-6487
713-821-6462
Contact: Candice Barber; Email
Telephone: 800-752-3419

Vendor ID: 0000508216
Product Vendor Access Contact Information

8592 Cordes Circle                    
Germantown, TN. 38139                                                                                                    
Contact: Candice Barber; Email                
Telephone: 901-482-8868                
Fax: 901-759-0773                
Policies: Manhattan Life Assurance Company of America

Payroll Code: AI13
Vendor Remittance Information

National Teachers Associates Life Insurance Company
PO Box 2429
Addison, TX 75001-2429
Contact: Bukureshe Tahiri; Email
Telephone: 469-375-3027

Vendor ID: 240220
Product Vendor Access Contact Information

National Teachers Associates Life Insurance Company
PO Box 1392
Addison, TX 75001-1392
Ray Ellason, Email
Telephone: 214-236-8475
Policies: National Teachers Associates Life Insurance Company

Payroll Code: AI06
Vendor Remittance Information

Washington National Insurance Company
11825 N Pennsylvania Street K 1 P
Carmel, IN 46032
Contact: Sandy Garcia; Email
Telephone: 325-260-6360

Vendor ID: 16979 (address #3)
Product Vendor Access Contact Information

Washington National Insurance Company
11825 N. Pennsylvania
St.Carmel, IN 46032
Contact: David Usery; Email
Phone: 317-817-6042
Fax: 800-889-4645
Policies: Washington National