Individual Information

CATHLEEN KONNER

PARAMUS, NJ 07652-5200

Active

ckonner@proviser.us

12/24/2007

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	576022	12/24/2007	Active	12/24/2007	12/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	12/24/2007	Active	12/24/2007
Health	12/24/2007	Active	12/24/2007
Life	12/24/2007	Active	12/24/2007
Property	12/24/2007	Active	12/24/2007
Var. Annuities/Var. Life	12/24/2007	Active	12/24/2007

Company Name	Appointment Type	Status	Active Date
840
GUARDIAN INSURANCE & ANNUITY COMPANY INC	Life	Active	12/12/2019
	Var. Annuities/Var. Life	Active	12/12/2019
300
Company Name	Appointment Type	Status	Active Date
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA	Health	Active	02/09/2023
	Life	Active	02/09/2023
469
Company Name	Appointment Type	Status	Active Date
HARTFORD UNDERWRITERS INSURANCE COMPANY	Casualty	Active	02/22/2021
	Property	Active	02/22/2021
1666
Company Name	Appointment Type	Status	Active Date
MEDICAL PROTECTIVE COMPANY (THE)	Casualty	Active	07/08/2009
	Property	Active	07/08/2009
401
Company Name	Appointment Type	Status	Active Date
METROPOLITAN LIFE INSURANCE COMPANY	Health	Active	10/29/2008
	Life	Active	10/29/2008
14549
Company Name	Appointment Type	Status	Active Date
PROFESSIONAL SOLUTIONS INSURANCE COMPANY	Casualty	Active	04/13/2022
	Health	Active	04/13/2022
	Property	Active	04/13/2022

row(s) 1 - 13 of 13

Organization	Association Type	Type	Beg dte	End dte
PROVISER PROTECT LLC	Designated Resp Lic Prdcr	Agency	03/13/2020	-
ACS AGENCY CORP	Designated Resp Lic Prdcr	Agency	09/17/2020	-

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