black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS

One or more of the licenses listed below were subject to license/disciplinary action. Details regarding each action can be found below under the affected license.

INSURANCE COMPANY

License Number:
LHF645
First Licensure:
06/01/1970
Cancel Date:
04/01/2018
Renewal Date:
04/01/2018

Mailing:
1932 WYNNTON RD
COMPLIANCE
COLUMBUS, GA 31999-0001
Phone:
+1 (706) 596-3497

History

License Type Start Date End Date
INSURANCE COMPANY 03/01/1990 03/31/2018

Employee

None.

Authority

Description Issue Date Termination Date Status
LIFE 03/01/1996 04/01/2018 Terminated
HEALTH 03/01/1996 04/01/2018 Terminated
HEALTH 01/01/1901 07/01/1995 Terminated
LIFE AND HEALTH 01/01/1901 03/01/1996 Terminated
LIFE 01/01/1901 07/01/1995 Terminated

Contacts

Type Contact
PRODUCER LICENSING CONTACT DONNA DICKENS
DONNA DICKENS
1932 WYNNTON RD
COLUMBUS, GA 31999-0001
Phone: +1 (706) 243-5727
Fax: +1 (706) 660-7533
Email: ddickens@aflac.com
SERVICE OF PROCESS CORPORATION SERVICE COMPANY
45 MEMORIAL CIR
AUGUSTA, ME 04330-6400
Phone: +1 (800) 927-9800
Fax: +1 (302) 636-5454
Email: sop@cscglobal.com

License/Disciplinary Action

Case Action Taken Date
RIRS-272 Consent Order 06/06/1995

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN)

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/13/2025 06:20:58 PM