Agency Information

PROVISER PROTECT LLC

Address:

52 FOREST AVE.

PARAMUS, NJ 07652

Phone

201-843-1023

URL:

Email:

ckonner@proviserprotect.us

National Producer Number:

15011040

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	965476	07/18/2014	Active	07/18/2014	07/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	07/18/2014	Active	07/18/2014
Health	07/18/2014	Active	07/18/2014
Life	07/18/2014	Active	07/18/2014
Property	07/18/2014	Active	07/18/2014
Var. Annuities/Var. Life	07/18/2014	Active	07/18/2014

Company Name	Appointment Type	Status	Active Date
469
HARTFORD UNDERWRITERS INSURANCE COMPANY	Casualty	Active	02/21/2021
	Property	Active	02/21/2021
14549
Company Name	Appointment Type	Status	Active Date
PROFESSIONAL SOLUTIONS INSURANCE COMPANY	Casualty	Active	04/14/2022
	Health	Active	04/14/2022
	Property	Active	04/14/2022

row(s) 1 - 5 of 5

Name	Association Type	Agent	Begin Date	End Date
CATHLEEN KONNER	Designated Resp Lic Prdcr	Yes	03/13/2020	-

1 - 1