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NAIC#: 78697 DOM: New York Group: ACE Ltd. Group Phone: 866-445-8872 
CPAF: 665 ORG: LF Group#: 626 Spl Risk:
DMV#: Website: WWW.COMBINED.COM  Licensed Dt: 06/07/1971
Combined Life Insurance Company of New York
13 Cornell Road
1st Floor
Latham, NY 12110
Company Name History: Change Dt
James Monroe Life Insurance Company 05/10/1971
Current Writing Powers:
NYS Insurance
Law Section Code
Line of
Business

Description
1113(a) 1 Life
1113(a) 2 Annuities
1113(a) 3 Accident And Health