black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PROVIDENT AGENCY INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN65148
Status:
First Licensure:
10/06/1999
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
272 ALPHA DR
PITTSBURGH, PA 15238-2906
Mailing:
PO BOX 11588
PITTSBURGH, PA 15238-0588
Phone:
+1 (800) 447-0360
Fax:
+1 (412) 963-0415
Email:
ctipton@providentprograms.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 10/06/1999 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
03/21/2016 PCF640
AXIS INSURANCE COMPANY
03/27/2013 PCF134278
CONTINENTAL AMERICAN INSURANCE COMPANY
03/09/2012 LHF80843 07/31/2015
FEDERAL INSURANCE COMPANY
06/05/2012 PCF439
HARTFORD FIRE INSURANCE COMPANY
05/14/2018 PCF464
NEW YORK LIFE INSURANCE COMPANY
07/12/2017 LHF230
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
02/19/2007 LHF250 03/28/2008
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
08/05/2008 LHF250 01/24/2019
UNUM LIFE INSURANCE COMPANY OF AMERICA
11/19/2012 LHD145 01/24/2019

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
CHARLES K. BENS JR
11/14/2019 PRN344046
DAREN KARL D IPPOLITO
04/06/2012 PRN201772
DAVID B. GIBSON
11/16/2013 PRN225456
RONALD GEORGE OETTEL JR
08/15/2003 PRN97586

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
DAREN KARL D IPPOLITO PRN201772

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2007953

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/13/2025 03:02:49 PM