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Details for PROVIDENT AMERICAN INSURANCE COMPANY

Organization Details
Name
PROVIDENT AMERICAN INSURANCE COMPANY 
Address
10501 N CENTRAL EXPY STE 240 DALLAS, TX 75231-2219 
Business Phone
(214) 696-9091 
Internet
 
Email
BARTPARIKH@PROVIDENTAMERICAN.COM  
Status
Active 
Issue Date
Dec 14, 1983 
Service of Process
STANDARD REGISTRAR 12528 S 1840 E
DRAPER, UT 84020-9100
(801) 571-8844
Company Type Status Date
Life Active Dec 14, 1983
Accident & Health-Life Approved Dec 14, 1983
Annuity-Life Approved Dec 14, 1983
Life Approved Dec 14, 1983
Variable Contract-Life Approved Dec 14, 1983
Agency Affiliations City State Type Active Date
FARM & RANCH HEALTH CARE INSURANCE AGENCY FT WORTH TX Life Sep 04, 1998
FARM & RANCH HEALTH CARE INSURANCE AGENCY FT WORTH TX Accident and Hlth or Sickness Aug 09, 2018
Individual Affiliations City State Type Active Date
ARNELL G BLAKE FARMINGTON UT Life Jun 30, 1999
ARNELL G BLAKE FARMINGTON UT Accident and Hlth or Sickness Aug 09, 2018
BRINKERHOFF JAMES D LAS VEGAS NV Life Sep 05, 1997
BRINKERHOFF JAMES D LAS VEGAS NV Accident and Hlth or Sickness Aug 09, 2018
BUSH TERRY L DRAPER UT Life Mar 25, 1999
BUSH TERRY L DRAPER UT Accident and Hlth or Sickness Aug 09, 2018
DASTRUP NEAL ROSS PROVO UT Life Feb 25, 1998
DASTRUP NEAL ROSS PROVO UT Accident and Hlth or Sickness Aug 09, 2018
KOEPP CYNTHIA A CEDAR CITY UT Life Nov 20, 1995
KOEPP CYNTHIA A CEDAR CITY UT Accident and Hlth or Sickness Aug 09, 2018
LYON LOWELL E SANDY UT Life Apr 16, 1999
LYON LOWELL E SANDY UT Accident and Hlth or Sickness Aug 09, 2018
OLSEN LARRY K PROVO UT Life Jul 28, 1998
OLSEN LARRY K PROVO UT Accident and Hlth or Sickness Aug 09, 2018
PAULSON STEPHEN D SALT LAKE CITY UT Life May 18, 1999
PAULSON STEPHEN D SALT LAKE CITY UT Accident and Hlth or Sickness Aug 09, 2018
PEARSON TIMOTHY L OGDEN UT Life Jun 08, 1998
PEARSON TIMOTHY L OGDEN UT Accident and Hlth or Sickness Aug 09, 2018
SHAW DOUGLAS H WASHINGTON UT Life Apr 05, 1999
SHAW DOUGLAS H WASHINGTON UT Accident and Hlth or Sickness Aug 09, 2018
STEVENS MICHAEL K FORT WORTH TX Life May 30, 1997
STEVENS MICHAEL K FORT WORTH TX Accident and Hlth or Sickness Aug 09, 2018
STRINGHAM JOHN EDWIN BOUNTIFUL UT Life Mar 04, 1998
STRINGHAM JOHN EDWIN BOUNTIFUL UT Accident and Hlth or Sickness Aug 09, 2018
WADE KELLY JAMES COTTONWOOD HEIGHTS UT Life May 21, 1998
WADE KELLY JAMES COTTONWOOD HEIGHTS UT Accident and Hlth or Sickness Aug 09, 2018
Alias Name Status
AMERICAN ESTATE LIFE INSURANCE COMPANY Active