DEPARTMENT OF INSURANCE

Name	Provident Insurance Agency Inc DBA : Provident Insurance Agency of Ohio, Inc.	DOIID	502290	NAIC NPN	2828928

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	12/31/1999	3/3/2006
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	6/4/2002	3/3/2006
Inactive	Non Resident	Agent	Health	12/31/1999	3/3/2006
Inactive	Non Resident	Agent	Property	12/10/2002	3/3/2006
Inactive	Non Resident	Agent	Casualty	12/10/2002	3/3/2006

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	One East Fourth St. MS 130B Cincinnati, OH 45202
Mailing	One East Fourth St. MS 130B Cincinnati, OH 45202

Phone Information

Type	Phone
Business / Home Office	(513) 639-4894