black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

COLUMBIAN MUTUAL LIFE INSURANCE COMPANY

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:
LHF807
Status:
Suspended Suspended Until: Open End Date
First Licensure:
12/06/1978
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
62103

Mailing:
711 INNOVATION WAY
JOHNSON CITY, NY 13790-1724
Phone:
+1 (607) 724-2472
Email:
jeanne.clarke@cfglife.com

History

License Type Start Date End Date
*** NOT ACTIVE *** 12/16/2024 08/10/2025
INSURANCE COMPANY 03/01/1990 12/15/2024

License Suspension

Start Date End Date
12/16/2024

Employee

None.

Authority

Description Issue Date Termination Date Status
LIFE 03/01/1996 Active
HEALTH 03/01/1996 Active
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 DAVID GRANDE
DAVID GRANDE
711 INNOVATION WAY
JOHNSON CITY, NY 13790-1724
Phone: +1 (607) 724-2472
Email: david.grande@cfglife.com
SERVICE OF PROCESS CT CORPORATION SYSTEM
128 STATE ST # 3
AUGUSTA, ME 04330-5630
Phone: +1 (855) 316-8944
Email: info@ctadvantage.com

License/Disciplinary Action

Case Action Taken Date
2024-35131 Final Agency Order 12/16/2024

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 11:47:24 AM