black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

GEORGE LISTA

PRODUCER NON-RESIDENT

License Number:
PRN173079
Status:
Active
First Licensure:
12/08/2009
Cancel Date:
None

Mailing:
AUGUSTA, NJ 07822
Phone:
+1 (973) 579-6776
Fax:
+1 (973) 579-0111
Email:
glista@tsia.net

History
License Type Start Date End Date
PRODUCER NON-RESIDENT 12/08/2009

Agency
Name Issue Date License Number Expiration Date Cancel Date
PROVIDENT PROTECTION PLUS INCORPORATED
 12/08/2009 AGN50580

Employer
Name Issue Date License Number Expiration Date Cancel Date
ALLIED INSURANCE COMPANY OF AMERICA
 10/05/2021 PCF216138
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
 10/16/2019 PCF223935
GREAT NORTHERN INSURANCE COMPANY
 11/09/2021 PCF455
NATIONWIDE ASSURANCE COMPANY
 12/30/2019 PCF38952 09/25/2023
NATIONWIDE GENERAL INSURANCE COMPANY
 10/16/2019 PCF30 09/25/2023
NATIONWIDE INSURANCE COMPANY OF AMERICA
 12/30/2019 PCF422 09/25/2023
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
 10/16/2019 PCF31 01/01/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
 10/16/2019 PCF32
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
 10/16/2019 PCF151089 09/25/2023
NETHERLANDS INSURANCE COMPANY
 08/06/2019 PCF827 12/16/2021
PEERLESS INSURANCE COMPANY
 08/06/2019 PCF548 12/16/2021
PROGRESSIVE NORTHERN INSURANCE COMPANY
 07/06/2016 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
 07/06/2016 PCF27738
SAFECO NATIONAL INSURANCE COMPANY
 08/06/2019 PCF248658 12/16/2021
SAFECO NATIONAL INSURANCE COMPANY
 12/22/2021 PCF248658 11/10/2023
SELECTIVE INSURANCE COMPANY OF NEW YORK
 02/01/2010 PCF437

Authority
Description Issue Date Termination Date Status
CASUALTY 12/08/2009 Active
HEALTH 12/08/2009 Active
PERSONAL LINES 12/08/2009 Active
PROPERTY 12/08/2009 Active

Responsible For
Name License Number
PROVIDENT PROTECTION PLUS INCORPORATED AGN50580

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2016385

Other Addresses
Address Type
96 US HIGHWAY 206
AUGUSTA, NJ 07822-2019
 Office

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: 05/14/2025 12:36:20 PM