Agency Information

PROVIDENT AGENCY INC

Address:

272 ALPHA DRIVE

PITTSBURGH, PA 15238

Phone

800-447-0360

URL:

Email:

ctipton@providentprograms.com

National Producer Number:

2007953

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	9995	10/01/2001	Active	10/01/2001	04/30/2028
Non-Res. Third Party Admin.	796619	12/27/2011	Active	12/27/2011	12/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	07/31/2015	Active	07/31/2015
Health	10/01/2001	Active	10/01/2001
Life	10/01/2001	Active	10/01/2001
Property	07/31/2015	Active	07/31/2015
TPA1 -Life/Health Insurance	12/27/2011	Active	12/27/2011

Company Name	Appointment Type	Status	Active Date
17
ACE AMERICAN INSURANCE COMPANY	Health	Active	03/06/2016
1163
Company Name	Appointment Type	Status	Active Date
AXIS INSURANCE COMPANY	Health	Active	03/27/2013
233
Company Name	Appointment Type	Status	Active Date
FEDERAL INSURANCE COMPANY	Health	Active	06/06/2012
309
Company Name	Appointment Type	Status	Active Date
HARTFORD FIRE INSURANCE COMPANY	Health	Active	05/14/2018
468
Company Name	Appointment Type	Status	Active Date
NEW YORK LIFE INSURANCE COMPANY	Health	Active	07/12/2017
	Life	Active	07/12/2017

row(s) 1 - 6 of 6

Name	Association Type	Agent	Begin Date	End Date
DAREN KARL D IPPOLITO	Designated Resp Lic Prdcr	Yes	09/15/2020	-

1 - 1