COTTON STATES LIFE INSURANCE COMPANY
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, DC 20549


FORM 8-K

CURRENT REPORT
Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934

Date of report (Date of earliest event reported): November 29, 2004


COTTON STATES LIFE INSURANCE COMPANY

(Exact name of registrant as specified in its charter)
         
Georgia
(State or other jurisdiction
of incorporation)
  002-39729
(Commission
File Number)
  58-0830929
(IRS Employer
Identification No.)


244 Perimeter Center Parkway, N.E.
Atlanta, Georgia

(Address of principal executive offices)

30346
(Zip Code)


Registrant’s telephone number, including area code: (770) 391-8600


Not Applicable
(Former name or address, if changed since last report)

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

     
o
  Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
 
   
o
  Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
 
   
o
  Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
 
   
o
  Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))



 


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Signature
Exhibit Index
EX-99.1 PRESS RELEASE DATED NOVEMBER 24, 2004


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Item 7.01 Regulation FD Disclosure

     On November 24, 2004, Cotton States Life Insurance Company (the “Company”) issued a press release announcing the approval by the Georgia Insurance Department of the previously announced merger of the Company with a subsidiary of COUNTRY Life Insurance Company. A copy of the press release is attached as Exhibit 99.1

Item 9.01 Financial Information and Exhibits

     (c) Exhibits

               99.1 Press Release dated November 24, 2004.

 


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Signature

     Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

Dated: November 29, 2004

         
  COTTON STATES LIFE INSURANCE COMPANY
 
 
  By:   /s/ J. Ridley Howard    
    Name:   J. Ridley Howard   
    Title:   Chairman, President and Chief Executive Officer   
 
     
  By:   /s/ William J. Barlow    
    Name:   William J. Barlow   
    Title:   Vice President of Finance   
 

 


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Exhibit Index

     
Exhibit No.
  Description
99.1
  Press Release dated November 24, 2004